Individual provider Active NPI

Evelyn Garcia, PT

  • Physical Therapist
  • St Augustine, FL
National Provider Identifier
1073832945
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
38246 Issued in FL
Practice address
308 Kingsley Lake Dr
St Augustine, FL 32092-3044
Phone
(904) 825-2660
NPI assigned
May 18, 2010
Last updated
Jan 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 38246 FL Primary

Addresses

Primary practice location

308 Kingsley Lake Dr
St Augustine, FL 32092-3044

Mailing address

88 Longtail Dr
St Augustine, FL 32092-0105
Phone (386) 222-9804

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220622003259 FL Practitioner - Physical Therapist in Private Practice 6608908371 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Luna Care Physical Therapy LLCGroup PAC ID 3779991559, 27 clinicians

Practice addresses (Care Compare)

5011 Gate Pkwy
Suite 100
Jacksonville, FL 32256-0830
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38246FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health Development Inc CurrentSince May 9, 2022 Accepting new patients
Rehab Advantage Solutions, PLLC Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients
H2 Rehabilitation Services of Florida LLC Physical Therapist CurrentSince May 1, 2024 Accepting new patients
Burke Collins Therapy, Inc Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Fox Rehab PT FL LLC Physical Therapist CurrentSince Sep 1, 2022 Accepting new patients
H2 Rehabilitation Services of Florida LLC CurrentSince May 1, 2024 Accepting new patients
Genesis Health Development, Inc. CurrentSince May 9, 2022 Accepting new patients

Locations

831 Santa Barbara Blvd
Ste 227
Cape Coral, FL 33991

551 N Williamson Blvd
Ste 2
Daytona Beach, FL 32114

3339 Highway 17
Green Cove Springs, FL 32043
Phone (904) 284-5721

8477 S Suncoast Blvd
Homosassa, FL 34446
Phone (800) 381-0822

3599 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7600

8450 Lockwood Ridge Rd
Sarasota, FL 34243
Phone (941) 216-3800

Organizations & group practices 8

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": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1073832945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 LONGTAIL DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320920105",
            "telephone_number": "386-222-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 KINGSLEY LAKE DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923044",
            "telephone_number": "904-825-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "EVELYN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-18",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "38246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.