Active NPI
Abigail Velasquez Garcia, PT, DPT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1376588517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070014889
- Practice address
- 7435 W Talcott Ave
Chicago, IL 60631-3707 - Phone
- (773) 774-8000
- Fax
- (773) 990-7788
- NPI assigned
- Jun 19, 2006
- 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 | 070014889 | IL | Primary |
Addresses
Primary practice location
7435 W Talcott Ave
Chicago, IL 60631-3707
Mailing address
7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (773) 774-8000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 363396874 | Other | IL | GROUP TAX ID NO. |
| 1618443 | Other | IL | BCBS GROUP NO. |
| 236963283001 | Medicaid | IL | |
| 01634372 | Other | IL | BCBS GROUP NO. |
| 200573902 | Other | IL | GROUP TAX ID |
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 |
|---|---|---|---|
| 070014889 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Therapeutics, LTD | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344816000000",
"number": "1376588517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7435 W TALCOTT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606313707",
"telephone_number": "773-774-8000",
"fax_number": "773-990-7788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7435 W TALCOTT AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606313707",
"telephone_number": "773-774-8000",
"fax_number": "773-990-7788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "ABIGAIL",
"middle_name": "VELASQUEZ",
"name_prefix": "Ms.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-19",
"last_updated": "2012-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070014889",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP TAX ID NO.",
"identifier": "363396874",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NO.",
"identifier": "1618443",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "236963283001",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NO.",
"identifier": "01634372",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP TAX ID",
"identifier": "200573902",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.