Individual provider Active NPI

Nicole Christine Garcia, PT, DPT, ATC, LAT

  • Physical Therapist
  • Homestead, FL
National Provider Identifier
1306336789
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
35369 Issued in FL
Practice address
30342 Old Dixie Hwy
Homestead, FL 33033-3215
Phone
(305) 246-3828
NPI assigned
May 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AL4958 FL
Physical Therapist 225100000X 35369 FL Primary

Addresses

Primary practice location

30342 Old Dixie Hwy
Homestead, FL 33033-3215

Mailing address

3880 Bird Rd Apt 506
Coral Gables, FL 33146-1541
Phone (786) 291-5497

Other practice location 1

1401 NW 88th Ave
Doral, FL 33172-3017
Phone (786) 291-5497

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35369FLMDPhysical Therapist
AL4958FLMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1306336789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 BIRD RD APT 506",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461541",
            "telephone_number": "786-291-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30342 OLD DIXIE HWY",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330333215",
            "telephone_number": "305-246-3828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 NW 88th Ave",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331723017",
            "country_code": "US",
            "telephone_number": "786-291-5497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "NICOLE",
        "middle_name": "CHRISTINE",
        "credential": "PT, DPT, ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL4958",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "35369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; 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.