Active NPI
Jesus Manuel Garcia
- Physical Therapist
- Cedartown, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT015113
- Practice address
- 1566 Rome Hwy
Cedartown, GA 30125-4403 - Phone
- (770) 749-0250
- Fax
- (770) 749-0086
- NPI assigned
- Jan 28, 2014
- Last updated
- Jan 27, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| 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 | Primary |
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 1
- Jessie Garcia
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, GA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
262 New Shackle Island Rd
Suite 210
Hendersonville, TN 37075-2489
Phone (615) 507-1552
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9684 | TN | MD | Dentist |
| 2013022021 | MO | MD | Physical Therapist |
| 7192 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Physical Therapist | Current | Accepting new patients |
| Results-Ast JV, 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 (866) 518-0283
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
262 New Shackle Island Rd
Ste 210
Hendersonville, TN 37075
Phone (615) 507-1552
326 New Shackle Island Rd
Ste 300
Hendersonville, TN 37075
Phone (615) 448-0517
2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Durable Medical Equipment & Medical Supplies
- Jasper, GA
- NPI 1164115671
Physical Therapist
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- NPI 1235434283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1184047151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 949",
"city": "ROME",
"state": "GA",
"postal_code": "301620949",
"telephone_number": "770-749-0250",
"fax_number": "770-749-0086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1566 ROME HWY",
"city": "CEDARTOWN",
"state": "GA",
"postal_code": "301254403",
"telephone_number": "770-749-0250",
"fax_number": "770-749-0086"
}
],
"practiceLocations": [
{
"address_1": "852A Springfield Hwy",
"address_purpose": "LOCATION",
"city": "Goodlettsville",
"state": "TN",
"postal_code": "370721127",
"country_code": "US",
"telephone_number": "615-557-8433",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "115 Cumberland Plz",
"address_purpose": "LOCATION",
"city": "Crossville",
"state": "TN",
"postal_code": "385554292",
"country_code": "US",
"telephone_number": "931-787-1244",
"fax_number": "931-787-1245",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA",
"first_name": "JESUS",
"middle_name": "MANUEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-28",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "9684",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "7192",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2013022021",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT015113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSIE",
"last_name": "GARCIA",
"credential": "PT, DPT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Cedartown, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.