Active NPI
Nestle Garupa, PT
- Physical Therapist
- Sunrise, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070021828
- Practice address
- 1580 Sawgrass Corporate Pkwy Ste 200
Sunrise, FL 33323-2869 - Phone
- (954) 552-8511
- NPI assigned
- Oct 31, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 1251816 | TX | |
| Physical Therapist | 225100000X | 070021828 | IL | Primary |
Addresses
Primary practice location
1580 Sawgrass Corporate Pkwy Ste 200
Sunrise, FL 33323-2869
Mailing address
606 Oakland Ave Apt 114
Urbana, IL 61802-2061
Phone (954) 552-8511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240710002404 | TX | Practitioner - Physical Therapist in Private Practice | 8921543356 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16400 Blanco Rd
San Antonio, TX 78232-1902
Phone (210) 572-4954
2739 Cembalo Blvd
San Antonio, TX 78230-3011
Phone (726) 201-1276
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1251816 | TX | MD | Physical Medicine & Rehabilitation Physician |
| 070021828 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Healthpro Heritage Rehab & Fitness, LLC | Physical Therapist | Current | Accepting new patients |
| Rise Up Rehab, LLC | Physical Therapist | Current | Accepting new patients |
Locations
265 Plateau Dr
McKinney, TX 75069
Phone (512) 277-6405
16400 Blanco Rd
San Antonio, TX 78232
Phone (210) 408-1212
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 and National Provider Directory roles.
-
- Physical Therapist
- Georgetown, TX
- NPI 1952531154
-
- Rehabilitation Clinic/Center
- San Antonio, TX
- NPI 1962054858
Physical Therapist, TX
-
- Physical Therapist
- Independence, MO
- NPI 1871072462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559606400000",
"number": "1174075642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 OAKLAND AVE APT 114",
"city": "URBANA",
"state": "IL",
"postal_code": "618022061",
"telephone_number": "954-552-8511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1580 SAWGRASS CORPORATE PKWY STE 200",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333232869",
"telephone_number": "954-552-8511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARUPA",
"first_name": "NESTLE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-31",
"last_updated": "2019-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "1251816",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070021828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sunrise, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.