Individual provider Active NPI

Maria Gracia Garcia Rodriguez, PT, DPT

  • Physical Therapist
  • Warner Robins, GA
National Provider Identifier
1417329889
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT012096 Issued in GA
Practice address
150 Osigian Blvd
Suite 300
Warner Robins, GA 31088-8968
Phone
(478) 333-3075
Fax
(478) 333-3484
NPI assigned
Oct 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT012096 GA Primary

Addresses

Primary practice location

150 Osigian Blvd
Suite 300
Warner Robins, GA 31088-8968

Mailing address

150 Osigian Blvd
Suite 300
Warner Robins, GA 31088-8968
Phone (478) 333-3075

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

Practice roles

OrganizationSpecialtyStatusNew patients
R. Jason Kent Physical Therapy Physical Therapist PastSince Sep 22, 2015 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": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1417329889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 OSIGIAN BLVD",
            "address_2": "SUITE 300",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888968",
            "telephone_number": "478-333-3075",
            "fax_number": "478-333-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 OSIGIAN BLVD",
            "address_2": "SUITE 300",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310888968",
            "telephone_number": "478-333-3075",
            "fax_number": "478-333-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA RODRIGUEZ",
        "first_name": "MARIA",
        "middle_name": "GRACIA",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; 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.