Individual provider Active NPI

Agnes Garcia, P.T.

  • Physical Therapist
  • Brooklyn, NY
National Provider Identifier
1225184005
Registry record updated Oct 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
023517-1 Issued in NY
Practice address
719 Ocean View Ave FL 1
Brooklyn, NY 11235-6317
Phone
(718) 934-0322
Fax
(718) 336-0994
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2010

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 023517-1 NY Primary

Addresses

Primary practice location

719 Ocean View Ave FL 1
Brooklyn, NY 11235-6317

Mailing address

719 Oceanview Ave 1St FL
Brooklyn, NY 11235
Phone (718) 934-0322

Other names 1

  • Agnes Garcia Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050513000559 NY Practitioner - Physical Therapist in Private Practice 0648211292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Executive Medical Care PCGroup PAC ID 2567551849, 9 clinicians

Practice addresses (Care Compare)

3049 Brighton 6TH St
Cu1
Brooklyn, NY 11235-3020
Phone (718) 934-0322

3049 Brighton St
Unit Cu1
Brooklyn, NY 11235-6409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
023517NYMDPsychologist
023517-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Jan 1, 2017 Accepting new patients
Executive Medical Care,P.C. CurrentSince Sep 1, 2008 Accepting new patients
Advantagecare Physicians PC CurrentSince Jan 1, 2017 Accepting new patients
Oleg Karpenko Podiatry P.C. Past Accepting new patients

Locations

3049 Brighton 6th St
Unit CU1
Brooklyn, NY 11235
Phone (718) 934-0322

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

3049 Brighton 6th St
Ste 1
Brooklyn, NY 11235
Phone (718) 934-0322

3057 Coney Island Ave
Brooklyn, NY 11235
Phone (347) 462-9170

719 Ocean View Ave
Fl 1
Brooklyn, NY 11235
Phone (718) 934-0322

9610 Metropolitan Ave
Forest Hills, NY 11375
Phone (718) 459-0400

350 S Broadway
Hicksville, NY 11801
Phone (516) 733-8085

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286841600000",
    "number": "1225184005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 OCEANVIEW AVE 1ST FL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-934-0322",
            "fax_number": "718-336-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 OCEAN VIEW AVE FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112356317",
            "telephone_number": "718-934-0322",
            "fax_number": "718-336-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "AGNES",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2010-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "023517-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AGNES",
            "last_name": "GARCIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2010; 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.

Verify at the official NPI Registry.