Active NPI
William J. Garcia, PT
- Physical Therapist
- Folsom, CA
National Provider Identifier
1063422061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT21142
- Practice address
- 115 Natoma Street
Folsom, CA 95630 - Phone
- (916) 355-8500
- Fax
- (530) 887-8112
- NPI assigned
- Aug 9, 2006
- Last updated
- Sep 20, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT21142 | CA | Primary |
Addresses
Primary practice location
115 Natoma Street
Folsom, CA 95630
Mailing address
115 Natoma Street
Folsom, CA 95630
Phone (800) 470-0071
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ08443Z | Other | BLUE SHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21142 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Folsom Physical Therapy & Training Center Inc | Physical Therapist | Current | Accepting new patients |
| Seivert Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
| Body Logic Physical Therapy, P.C. | Physical Therapist | Past | Accepting new patients |
Locations
115 Natoma St
Folsom, CA 95630
Phone (916) 355-8500
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Folsom, CA
- NPI 1376379248
Physical Therapist
-
- Physical Therapist
- Grass Valley, CA
- NPI 1285929141
-
- Physical Therapist
- Grass Valley, CA
- NPI 1114000445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1063422061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 NATOMA STREET",
"city": "FOLSOM",
"state": "CA",
"postal_code": "95630",
"telephone_number": "800-470-0071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 NATOMA STREET",
"city": "FOLSOM",
"state": "CA",
"postal_code": "95630",
"telephone_number": "916-355-8500",
"fax_number": "530-887-8112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "WILLIAM",
"middle_name": "J.",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT21142",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ08443Z",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.