Individual provider Active NPI

Kayleigh Nicole Garcia, P.T.

  • Physical Therapist
  • Abilene, TX
National Provider Identifier
1205292075
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3118701 Issued in TX
Practice address
1059 N Judge Ely Blvd
Abilene, TX 79601-3853
Phone
(325) 232-8500
Fax
(325) 232-8400
NPI assigned
Jan 11, 2016
Last updated
Oct 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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 3118701 TX Primary

Addresses

Primary practice location

1059 N Judge Ely Blvd
Abilene, TX 79601-3853

Mailing address

2074 Antilley Rd
Abilene, TX 79606-5209
Phone (325) 690-9700

Other practice location 1

2074 Antilley Rd
Abilene, TX 79606-5209
Phone (325) 690-9700

Other identifiers 1

IdentifierTypeStateIssuer
1272096OtherLICENSE

Other names 1

  • Kayleigh Walts Former name

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
3118701TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1205292075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 ANTILLEY RD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065209",
            "telephone_number": "325-690-9700",
            "fax_number": "325-690-9704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 N JUDGE ELY BLVD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796013853",
            "telephone_number": "325-232-8500",
            "fax_number": "325-232-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2074 Antilley Rd",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796065209",
            "country_code": "US",
            "telephone_number": "325-690-9700",
            "fax_number": "325-690-9704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "KAYLEIGH",
        "middle_name": "NICOLE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "3118701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1272096",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLEIGH",
            "last_name": "WALTS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.