Individual provider Active NPI

Katherine Garcia, PT

  • Neurology Physical Therapist
  • Grass Valley, CA
National Provider Identifier
1003460783
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
PT20892 Issued in CA
Practice address
102 Catherine LN Ste a
Grass Valley, CA 95945-5701
Phone
(530) 478-1933
Fax
(530) 478-1937
NPI assigned
Jul 30, 2019
Last updated
Jan 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X NU
Neurology Physical Therapist 2251N0400X PT20892 CA Primary

Addresses

Primary practice location

102 Catherine LN Ste a
Grass Valley, CA 95945-5701

Mailing address

12684 Manor Way
Auburn, CA 95603-3620
Phone (530) 885-7308

Other practice location 1

569 Searls Ave
Nevada City, CA 95959-3063
Phone (530) 478-1933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200127002144 CA Practitioner - Physical Therapist in Private Practice 8224463989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive NC Physical Therapy IncGroup PAC ID 8921386939, 5 clinicians

Practice addresses (Care Compare)

102 Catherine LN
Suite a
Grass Valley, CA 95945-5701
Phone (530) 478-1933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT20892CAMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fit for Life Physical Therapy, Inc Neurology CurrentSince Aug 1, 2019 Accepting new patients
Thrive NC Physical Therapy, Inc. Neurology CurrentSince Dec 16, 2019 Accepting new patients

Locations

102 Catherine Ln
#A
Grass Valley, CA 95945
Phone (530) 478-1933

569 Searls Ave
Nevada City, CA 95959
Phone (530) 478-1933

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1003460783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12684 MANOR WAY",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956033620",
            "telephone_number": "530-885-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 CATHERINE LN STE A",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455701",
            "telephone_number": "530-478-1933",
            "fax_number": "530-478-1937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "569 Searls Ave",
            "address_purpose": "LOCATION",
            "city": "Nevada City",
            "state": "CA",
            "postal_code": "959593063",
            "country_code": "US",
            "telephone_number": "530-478-1933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "KATHERINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "CA",
            "license": "PT20892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.