Active NPI
Ma Angela S Garner, PT
- Physical Therapist
- Cotulla, TX
National Provider Identifier
1295934420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1068369
- Practice address
- 506 N Main Street
#501
Cotulla, TX 78014 - Phone
- (956) 712-0770
- Fax
- (956) 391-1707
- NPI assigned
- Jul 17, 2007
- Last updated
- May 14, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT1068369 | TX | Primary |
Addresses
Primary practice location
506 N Main Street
#501
Cotulla, TX 78014
Mailing address
2619 San Isidro Pkwy
#501
Laredo, TX 78045-6570
Phone (956) 638-3559
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 |
|---|---|---|---|
| PT1068369 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zapata County Medical Group Rehab Services | Past | Accepting new patients | |
| Falcon Lake Rehab Services | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Laredo, TX
- NPI 1336343052
-
- Physical Therapy Clinic/Center
- Zapata, TX
- NPI 1225232150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400025600000",
"number": "1295934420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2619 SAN ISIDRO PKWY",
"address_2": "#501",
"city": "LAREDO",
"state": "TX",
"postal_code": "780456570",
"telephone_number": "956-638-3559",
"fax_number": "956-391-1707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 N MAIN STREET",
"address_2": "#501",
"city": "COTULLA",
"state": "TX",
"postal_code": "78014",
"telephone_number": "956-712-0770",
"fax_number": "956-391-1707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARNER",
"first_name": "MA ANGELA",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-17",
"last_updated": "2014-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "PT1068369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cotulla, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.