Justine Garcia
Individual provider Active NPI Physical Therapist · Byron, GA
NPI 1386097780 · NPPES record last updated Jul 20, 2016
Key facts
- NPI
- 1386097780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT012192 (GA)
- Practice address
- 100 Hamilton Pointe Drive
Suite 115
Byron, GA 31008 - Phone
- (478) 956-4916
- Fax
- (478) 956-0401
- NPI assigned
- Jul 20, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT012192 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middle Georgia Family Rehab | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT012192 | GA | Yes |
Addresses
Primary practice location
100 Hamilton Pointe Drive
Suite 115
Byron, GA 31008
Mailing address
PO Box 1552
Byron, GA 31008-1552
Other providers in Byron, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.