Active NPI
Luis Damaso Garcia, DPT
- Physical Therapist
- Englewood, FL
National Provider Identifier
1225744287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT8497
- Practice address
- 9374 Fruitland Ave
Englewood, FL 34224-9617 - Phone
- (941) 280-7897
- NPI assigned
- Jan 24, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT8497 | FL | Primary |
Addresses
Primary practice location
9374 Fruitland Ave
Englewood, FL 34224-9617
Mailing address
9374 Fruitland Ave
Englewood, FL 34224-9617
Phone (941) 280-7897
Other practice location 1
10550 Deerwood Park Blvd Ste 609A
Jacksonville, FL 32256-0596
Phone (904) 513-3954
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 |
|---|---|---|---|
| PT8497 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731888000000",
"number": "1225744287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9374 FRUITLAND AVE",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342249617",
"telephone_number": "941-280-7897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9374 FRUITLAND AVE",
"city": "ENGLEWOOD",
"state": "FL",
"postal_code": "342249617",
"telephone_number": "941-280-7897"
}
],
"practiceLocations": [
{
"address_1": "10550 Deerwood Park Blvd Ste 609A",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322560596",
"country_code": "US",
"telephone_number": "904-513-3954",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA",
"first_name": "LUIS",
"middle_name": "DAMASO",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-01-24",
"last_updated": "2024-11-18",
"certification_date": "2024-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT8497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.