Individual provider Active NPI

Alejandro Garibay, P.T., A.T.C.

  • Physical Therapist
  • Estero, FL
National Provider Identifier
1174651145
Registry record updated Jan 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT23226 Issued in FL
Practice address
9962 Colonial Walk S
Estero, FL 33928-6258
Phone
(773) 802-6572
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2015

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 PT23226 FL Primary

Addresses

Primary practice location

9962 Colonial Walk S
Estero, FL 33928-6258

Mailing address

9962 Colonial Walk S
Estero, FL 33928-6258
Phone (773) 802-6572

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071205000551 FL Practitioner - Physical Therapist in Private Practice 1254420706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Miami, LM Miller School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylife Physical Therapy and Rehabilitation IncGroup PAC ID 9133170095, 17 clinicians

Practice addresses (Care Compare)

10201 Arcos Ave
Suite 204
Estero, FL 33928-9461
Phone (724) 223-2061

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT23226FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baylife Physical Therapy & Rehabilitation Inc Physical Therapist CurrentSince Jan 16, 2017 Accepting new patients
Excel Physical Therapy of Naples, Inc. Physical Therapist CurrentSince Sep 30, 2020 Accepting new patients
Baylife Physical Therapy & Rehabilitation, Inc. Past Accepting new patients

Locations

10201 Arcos Ave
Ste 204
Estero, FL 33928
Phone (724) 223-2061

13020 Livingston Rd
Ste 9
Naples, FL 34105
Phone (239) 213-4295

8950 Dr Ml King Jr St N
Ste 101
St Petersburg, FL 33702
Phone (727) 520-0800

470 Johnson Rd
Ste 100
Washington, PA 15301

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25442/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420416000000",
    "number": "1174651145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9962 COLONIAL WALK S",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339286258",
            "telephone_number": "773-802-6572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9962 COLONIAL WALK S",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339286258",
            "telephone_number": "773-802-6572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARIBAY",
        "first_name": "ALEJANDRO",
        "name_prefix": "Mr.",
        "credential": "P.T.,  A.T.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2015-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT23226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estero, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.