Individual provider Active NPI

Audrey R Garcia, P.T.

  • Physical Medicine & Rehabilitation Physician
  • Chandler, AZ
National Provider Identifier
1043459209
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
6555 Issued in AZ
Practice address
1801 W Queen Creek Rd
Chandler, AZ 85248-3001
Phone
(480) 812-1800
Fax
(480) 812-1839
NPI assigned
Feb 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 6555 AZ Primary

Addresses

Primary practice location

1801 W Queen Creek Rd
Chandler, AZ 85248-3001

Mailing address

1801 W Queen Creek Rd
Chandler, AZ 85248-3001
Phone (480) 812-1800

Other identifiers 1

IdentifierTypeStateIssuer
6555OtherARSTATE LICENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alpha Physical Therapy, Inc Past Accepting new patients
Carson Robertson Chiropractic Inc Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1043459209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W QUEEN CREEK RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852483001",
            "telephone_number": "480-812-1800",
            "fax_number": "480-812-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W QUEEN CREEK RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852483001",
            "telephone_number": "480-812-1800",
            "fax_number": "480-812-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "AUDREY",
        "middle_name": "R",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "6555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "6555",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.