Individual provider Active NPI

Franco Alejandro Garibaldi Alva, PTA,LMT

  • Physical Medicine & Rehabilitation Physician
  • Lynnwood, WA
National Provider Identifier
1396346177
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
P161037222 Issued in WA
Practice address
16201 25TH Ave W
Lynnwood, WA 98087-2520
Phone
(425) 774-9564
NPI assigned
Nov 6, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA61108011 WA
Physical Medicine & Rehabilitation Physician 208100000X P161037222 WA Primary

Addresses

Primary practice location

16201 25TH Ave W
Lynnwood, WA 98087-2520

Mailing address

12332 4TH Dr SE
Everett, WA 98208-5869
Phone (425) 200-8372

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
P161037222WAMDPhysical Medicine & Rehabilitation Physician
MA61108011WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1604620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1396346177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12332 4TH DR SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982085869",
            "telephone_number": "425-200-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16201 25TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980872520",
            "telephone_number": "425-774-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARIBALDI ALVA",
        "first_name": "FRANCO",
        "middle_name": "ALEJANDRO",
        "credential": "PTA,LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-06",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61108011",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "P161037222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.