Active NPI
Stephanie Danielle Garcia, PT
- Physical Therapist
- Chula Vista, CA
National Provider Identifier
1225307275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT38311
- Practice address
- 955 Lane Ave Ste 201
Chula Vista, CA 91914-4525 - Phone
- (619) 421-9521
- NPI assigned
- Dec 20, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT38311 | CA | Primary |
| Physical Therapist | 225100000X | PT.012533 | OH |
Addresses
Primary practice location
955 Lane Ave Ste 201
Chula Vista, CA 91914-4525
Mailing address
885 Canarios CT Ste 110
Chula Vista, CA 91910-7877
Phone (619) 656-5102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT38311 | Other | CA | PHYSICAL THERAPIST LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 38311 | CA | MD | Mental Health Counselor |
| PT38311 | CA | MD | Physical Therapist |
| PT.012533 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Performance Physical Therapy Inc | Current | Accepting new patients | |
| Manual Orthopedic Physical Therapy, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Chula Vista, CA
- NPI 1255983573
-
- Physical Therapist
- Chula Vista, CA
- NPI 1982651535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395014400000",
"number": "1225307275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "885 CANARIOS CT STE 110",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919107877",
"telephone_number": "619-656-5102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 LANE AVE STE 201",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919144525",
"telephone_number": "619-421-9521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "STEPHANIE",
"middle_name": "DANIELLE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-20",
"last_updated": "2014-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT38311",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT.012533",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST LICENSE",
"identifier": "PT38311",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.