Active NPI
Jessica Garakian, DPT
- Physical Therapist
- Fishers, IN
National Provider Identifier
1497993687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 35064
- Practice address
- 16542 Cava Dr
Fishers, IN 46037-7451 - Phone
- (510) 432-8278
- NPI assigned
- Jan 27, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 35064 | CA | |
| Physical Therapist | 225100000X | 3982 | HI | |
| Physical Therapist | 225100000X | 60493851 | WA | |
| Physical Therapist | 225100000X | 62122 | OR | |
| Physical Therapist | 225100000X | 05012356A | IN | |
| Physical Therapist | 225100000X | PT 35064 | CA | Primary |
Addresses
Primary practice location
16542 Cava Dr
Fishers, IN 46037-7451
Mailing address
2443 Fillmore St # 380-6122
San Francisco, CA 94115-1814
Phone (510) 432-8278
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35064 | CA | MD | Dentist |
| PT 35064 | CA | MD | Physical Therapist |
| 3982 | HI | MD | Physical Therapist |
| 05012356A | IN | MD | Physical Therapist |
| 62122 | OR | MD | Physical Therapist |
| 60493851 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591142400000",
"number": "1497993687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2443 FILLMORE ST # 380-6122",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941151814",
"telephone_number": "510-432-8278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16542 CAVA DR",
"city": "FISHERS",
"state": "IN",
"postal_code": "460377451",
"telephone_number": "510-432-8278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARAKIAN",
"first_name": "JESSICA",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-27",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "35064",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "3982",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "60493851",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "62122",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05012356A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 35064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fishers, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.