Active NPI
Gloria Paola Garcia
- Occupational Therapist
- Richardson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 122964
- Practice address
- 210 W Campbell Rd
Richardson, TX 75080-3512 - Phone
- (469) 709-4178
- Fax
- (972) 979-6951
- NPI assigned
- Jan 24, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 122964 | TX | Primary |
Addresses
Primary practice location
210 W Campbell Rd
Richardson, TX 75080-3512
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other practice location 1
502 W Kearney St Ste 200
Mesquite, TX 75149-3477
Phone (972) 454-9309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240924000192 | TX | Practitioner - Occupational Therapist in Private Practice | 0749721355 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
410 W FM
544 Suite 105
Murphy, TX 75094-3715
Phone (469) 606-5003
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Physical Therapy of Texas LLC | Current | Accepting new patients | |
| Ideal Physical Therapy of Texas LLC | Occupational Therapist | Current | Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561
1267 W Exchange Pkwy
Ste 150
Allen, TX 75013
Phone (469) 342-0641
4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325
6333 E Mockingbird Ln
Ste 139
Dallas, TX 75214
Phone (469) 782-7786
4015 Lemmon Ave
Dallas, TX 75219
Phone (469) 872-7461
2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462
8845 Gary Burns Dr
Ste 100
Frisco, TX 75034
Phone (469) 403-2090
6420 N MacArthur Blvd
Ste 130
Irving, TX 75039
Phone (972) 402-8300
410 W FM 544
Ste 105
Murphy, TX 75094
Phone (469) 606-5003
210 W Campbell Rd
Richardson, TX 75080
Phone (469) 709-4178
3005 Lakeview Pkwy
Ste 400
Rowlett, TX 75088
Phone (214) 607-9304
5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949
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.
-
- Physical Therapist
- Plano, TX
- NPI 1538573746
Occupational Therapist, TX
-
- Durable Medical Equipment & Medical Supplies
- Murphy, TX
- NPI 1902773161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1104532043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 W CAMPBELL RD",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803512",
"telephone_number": "469-709-4178",
"fax_number": "972-979-6951"
}
],
"practiceLocations": [
{
"address_1": "502 W Kearney St Ste 200",
"address_purpose": "LOCATION",
"city": "Mesquite",
"state": "TX",
"postal_code": "751493477",
"country_code": "US",
"telephone_number": "972-454-9309",
"fax_number": "972-338-9378",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA",
"first_name": "GLORIA",
"middle_name": "PAOLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-24",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "122964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.