Prachy Garg, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT11178 Issued in FL

Practice address

841 Prudential Dr
Suite 140
Jacksonville, FL 32207-8329

Phone

(904) 346-0394

Fax

(904) 398-6015

NPI assigned

Sep 26, 2008

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1407006307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10010 BELLE RIVE BLVD",
            "address_2": "# 808",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569056",
            "telephone_number": "904-430-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 PRUDENTIAL DR",
            "address_2": "SUITE 140",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078329",
            "telephone_number": "904-346-0394",
            "fax_number": "904-398-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARG",
        "first_name": "PRACHY",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT11178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cleon Noel Gardonis, MD
• Jacquelyn Garetano, LCSW
• Hardesh Kumar Garg, M.D
• Neeraj Garg, PHARM.D
• Nishat Garg, CRNA
• Sushil Kumar Garg, M,B;B,S.
• Vibhuti Garg, DMD
• Kathleen Gargin, MD
• Matthew Garizio
• Amanda M Garland, DPT

• Occupational Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.