Pedro Manolin Garcia Jr., PHYSICAL THER ASST0

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

9445 Issued in MA

Practice address

265 N Main St
South Yarmouth, MA 02664-2083

Phone

(508) 394-3514

Fax

(508) 394-9360

NPI assigned

Jul 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1194922096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 N MAIN ST",
            "city": "SOUTH YARMOUTH",
            "state": "MA",
            "postal_code": "026642083",
            "telephone_number": "508-394-3514",
            "fax_number": "508-394-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 N MAIN ST",
            "city": "SOUTH YARMOUTH",
            "state": "MA",
            "postal_code": "026642083",
            "telephone_number": "508-394-3514",
            "fax_number": "508-394-9360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1275 S Broadway",
            "address_purpose": "LOCATION",
            "city": "East Providence",
            "state": "RI",
            "postal_code": "029144932",
            "country_code": "US",
            "telephone_number": "401-438-7020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "PEDRO",
        "middle_name": "MANOLIN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PHYSICAL THER  ASST0",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "RI",
            "license": "PTA 00506",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "9445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Frongillo, N.P.
• Dazira Fulton
• Verlyna F Furblur, LMHC
• Victoria Celeste Furman
• Mary Gallagher, FNP
• Lori Garino
• Joyce Laming Geissler, OTD, OTR/L, CLT
• Genesis Rehab Services
• Karin R Gilbert, MD
• Scott Giordano, M.S., CADC, CAP, ACP

• Physical Therapy Assistant in South Yarmouth, MA
• Providers in South Yarmouth, MA by specialty
• Physical Therapy Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.