Individual provider Active NPI

Jacqueline Michelle Garcia, DPT

  • Physical Therapist
  • Phoenix, AZ
National Provider Identifier
1508482423
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-31304 Issued in AZ
Practice address
5055 E Washington St Ste 125
Phoenix, AZ 85034-2008
Phone
(602) 277-1073
NPI assigned
Jun 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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 LPT-31304 AZ Primary

Addresses

Primary practice location

5055 E Washington St Ste 125
Phoenix, AZ 85034-2008

Mailing address

8377 W Lariat LN
Peoria, AZ 85383-4619
Phone (623) 262-0737

Other names 1

  • Jacqueline Michelle Galarza Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200721002875 AZ Practitioner - Physical Therapist in Private Practice 3375967573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurologic Therapy Specialists LLCGroup PAC ID 8921100082, 5 clinicians

Practice addresses (Care Compare)

5017 E Washington St
Phoenix, AZ 85034-2033
Phone (602) 277-1073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-31304AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurologic Therapy Specialists LLC Physical Therapist CurrentSince Jun 16, 2020 Accepting new patients

Locations

5055 E Washington St
Ste 125
Phoenix, AZ 85034
Phone (602) 277-1073

5017 E Washington St
Ste 107
Phoenix, AZ 85034
Phone (480) 565-2276

5017 E Washington St
Ste 107A
Phoenix, AZ 85034
Phone (602) 277-1073

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": "1592352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1508482423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8377 W LARIAT LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853834619",
            "telephone_number": "623-262-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 E WASHINGTON ST STE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850342008",
            "telephone_number": "602-277-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JACQUELINE",
        "middle_name": "MICHELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-31304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "GALARZA",
            "middle_name": "MICHELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.