Jesus Manuel Garcia
Individual provider Active NPI Physical Therapist · Cedartown, GA
NPI 1184047151 · NPPES record last updated Jan 27, 2021
Key facts
- NPI
- 1184047151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT015113 (GA)
- Practice address
- 1566 Rome Hwy
Cedartown, GA 30125-4403 - Phone
- (770) 749-0250
- Fax
- (770) 749-0086
- NPI assigned
- Jan 28, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Results-Ast JV LLC
Practice addresses (Care Compare)
262 New Shackle Island Rd
Suite 210
Hendersonville, TN 37075-2489
Phone (615) 507-1552
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140623001340 | TN | Practitioner - Physical Therapist in Private Practice | 3577787167 | Reassigns benefits to 2 organizations |
| I20210519000100 | GA | Practitioner - Physical Therapist in Private Practice | 3577787167 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9684 | TN | MD | Pharmacist |
| PT015113 | GA | MD | Physical Therapist |
| 2013022021 | MO | MD | Physical Therapist |
| 7192 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Results-Ast JV, LLC | Physical Therapist | Current |
Accepting new patients |
| Independent Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current |
Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current |
Accepting new patients |
| Advance Rehabilitation & Consulting Limited Partnership | Physical Therapist | Past |
Accepting new patients |
| Advance Rehabilitation & Consulting Limited Partnership | Physical Therapist | Past |
Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
1394 Battlefield Pkwy
Ft Oglethorpe, GA 30742
Phone (706) 858-0252
400 Tower Rd NE
Ste 140
Marietta, GA 30060
Phone (770) 419-9437
6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923
1202 N Charles G Seivers Blvd
Ste A
Clinton, TN 37716
Phone (865) 457-0192
115 Cumberland Plz
Crossville, TN 38555
Phone (931) 787-1244
326 New Shackle Island Rd
Ste 300
Hendersonville, TN 37075
Phone (615) 448-0517
262 New Shackle Island Rd
Ste 210
Hendersonville, TN 37075
Phone (615) 507-1552
2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 9684 | TN | |
| Physical Therapist | 225100000X | 7192 | SC | |
| Physical Therapist | 225100000X | 2013022021 | MO | |
| Physical Therapist | 225100000X | PT015113 | GA | Yes |
Addresses
Primary practice location
1566 Rome Hwy
Cedartown, GA 30125-4403
Mailing address
PO Box 949
Rome, GA 30162-0949
Phone (770) 749-0250
Other practice location 1
852A Springfield Hwy
Goodlettsville, TN 37072-1127
Phone (615) 557-8433
Other practice location 2
115 Cumberland Plz
Crossville, TN 38555-4292
Phone (931) 787-1244
Other names
- Jessie Garcia
Other providers in Cedartown, GA
- Floyd Homecare, LLC
- Tammy C Floyd
- Takeya Renee Fogle
- Jina Lynn Ford
- David Gandy
- Sydney Garrett
- General Medicine, Inc
- Genmedga, LLC
- Georgia CVS Pharmacy LLC
- Georgia Group Services, LLC
All providers in Cedartown, GA · Physical Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.