Michael Garrastazu, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT007091L Issued in PA

Practice address

300 State St
Suite 104
Erie, PA 16507-1427

Phone

(814) 454-5251

Fax

(814) 459-1884

NPI assigned

Oct 7, 2008

Last updated

Oct 7, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Interoperability endpoints

• Direct secure messaging: michael.garrastazu@upmcdirect.com

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.

• Sportscare of America, PC

  • Physical Therapist
  • East Hanover, NJ
  • NPI 1851484380
  NPD
• Core Network, LLC

  dba UPMC Rehabilitation Institute

  • Physical Therapist
  • Pittsburgh, PA
  • NPI 1871551028
  NPD (past)

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1366693491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STATE ST",
            "address_2": "SUITE 104",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071427",
            "telephone_number": "814-454-5251",
            "fax_number": "814-459-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE ST",
            "address_2": "SUITE 104",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071427",
            "telephone_number": "814-454-5251",
            "fax_number": "814-459-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRASTAZU",
        "first_name": "MICHAEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT007091L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Edward Gardner, LPC
• Jonathan Scott Garich
• Stephanie Garlick, OTR/L
• Kim Garnon, M.A.
• Colleen M Garofalo
• Miranda Garris, ATC
• Gary T Brotherson MD Inc (Niagara Eye Associates)
• Gary T Brotherson MD Inc (Niagara Eye Associates)
• Kelly Gasiewski, LPC
• Paula Freeman Gatenby, P.T.

• Physical Therapist in Erie, PA
• Providers in Erie, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.