Active NPI
Patrick Nelson Garvey, PTA
- Physical Therapy Assistant
- Goodyear, AZ
National Provider Identifier
1386421188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 014574
- Practice address
- 1382 S Cotton LN
Goodyear, AZ 85338-4657 - Phone
- (520) 438-7090
- NPI assigned
- Sep 13, 2023
- Sex
- Male
- 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 Therapy Assistant | 225200000X | 014574 | AZ | Primary |
Addresses
Primary practice location
1382 S Cotton LN
Goodyear, AZ 85338-4657
Mailing address
2075 N 133Rd Ave
Goodyear, AZ 85395-8600
Phone (602) 601-9331
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
| License | State | Type | Specialty |
|---|---|---|---|
| 014574 | AZ | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694563200000",
"number": "1386421188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2075 N 133RD AVE",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853958600",
"telephone_number": "602-601-9331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1382 S COTTON LN",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853384657",
"telephone_number": "520-438-7090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARVEY",
"first_name": "PATRICK",
"middle_name": "NELSON",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-09-13",
"last_updated": "2023-09-13",
"certification_date": "2023-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AZ",
"license": "014574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.