Individual provider Active NPI

Marta Garcia, OTR

  • Occupational Therapist
  • San Antonio, TX
National Provider Identifier
1164838744
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
100901 Issued in TX
Practice address
17026 Bulverde Rd Ste 108
San Antonio, TX 78247-4700
Phone
(210) 819-2994
Fax
(210) 463-5942
NPI assigned
Jul 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 100901
Occupational Therapist 225X00000X 100901 TX Primary

Addresses

Primary practice location

17026 Bulverde Rd Ste 108
San Antonio, TX 78247-4700

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

305 NE Loop 280
Suite 200
Hurst, TX 76053
Phone (817) 292-8787

Other names 1

  • Marta Fernandez Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231021000048 TX Practitioner - Occupational Therapist in Private Practice 2163878596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ideal Physical Therapy of Texas LLCGroup PAC ID 0547583809, 359 clinicians

Practice addresses (Care Compare)

17026 Bulverde Rd
Suite 108
San Antonio, TX 78247-4700
Phone (210) 819-2994

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100901TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Physical Therapy of Texas LLC Occupational Therapist CurrentSince Jun 19, 2023 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Jun 19, 2023 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

524 Singing Oaks
Ste 210
Bulverde, TX 78070
Phone (830) 256-7578

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

1123 N Main Ave
Ste 211
San Antonio, TX 78212
Phone (210) 226-2101

17026 Bulverde Rd
Ste 108
San Antonio, TX 78247
Phone (210) 819-2994

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.

NPI Registry JSON

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1164838744",
    "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",
            "telephone_number": "866-370-8206",
            "fax_number": "517-435-3670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17026 BULVERDE RD STE 108",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474700",
            "telephone_number": "210-819-2994",
            "fax_number": "210-463-5942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 NE Loop 280",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Hurst",
            "state": "TX",
            "postal_code": "76053",
            "country_code": "US",
            "telephone_number": "817-292-8787",
            "fax_number": "817-789-6849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MARTA",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-03",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": "100901",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "100901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTA",
            "last_name": "FERNANDEZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.