Individual provider Active NPI

Santo Ignacio Garcia, MOTR/L

  • Occupational Therapist
  • Fort Myers, FL
National Provider Identifier
1194050260
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
11998 Issued in FL
Practice address
9400 Gladiolus Dr
Suite #60
Fort Myers, FL 33908-6699
Phone
(239) 565-8300
Fax
(239) 829-8300
NPI assigned
Oct 7, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 11998 FL Primary

Addresses

Primary practice location

9400 Gladiolus Dr
Suite #60
Fort Myers, FL 33908-6699

Mailing address

PO Box 61105
Fort Myers, FL 33906-1105
Phone (239) 565-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11998FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303862400000",
    "number": "1194050260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61105",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339061105",
            "telephone_number": "239-565-8300",
            "fax_number": "239-829-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 GLADIOLUS DR",
            "address_2": "SUITE #60",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339086699",
            "telephone_number": "239-565-8300",
            "fax_number": "239-829-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "SANTO",
        "middle_name": "IGNACIO",
        "credential": "MOTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-07",
        "last_updated": "2011-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "11998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.