Louis Raneses Garcia, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

60769102 Issued in WA

Practice address

15315 1St Ave NE # 5
Duvall, WA 98019-5004

Phone

(425) 413-4427

NPI assigned

Sep 30, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Premier Physical Rehabilitation LLC

  • Physical Therapist
  • Woodinville, WA
  • NPI 1437349198
  NPD

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

{
    "created_epoch": "1538265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538265600000",
    "number": "1225513880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26522 CLYDESDALE LN",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925553335",
            "telephone_number": "626-510-4678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15315 1ST AVE NE # 5",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980195004",
            "telephone_number": "425-413-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "LOUIS",
        "middle_name": "RANESES",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-30",
        "last_updated": "2018-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60769102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David S Farrell, D.O.
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• Kayla Marie Fox
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• Suzan B Grimm, O.D.
• Akriti Jaura Gupta
• Sophie Marie Haegele

• All providers in Duvall, WA
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.