Individual provider Active NPI

Michelle B Garza, PT, DPT

  • Physical Therapist
  • Surprise, AZ
National Provider Identifier
1548200645
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6622 Issued in AZ
Practice address
14545 W. Grand Ave
Suite 108
Surprise, AZ 85379-7279
Phone
(623) 544-0300
Fax
(623) 544-0239
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 6622 AZ Primary

Addresses

Primary practice location

14545 W. Grand Ave
Suite 108
Surprise, AZ 85379-7279

Mailing address

14545 W. Grand Ave
Suite 108
Surprise, AZ 85379-7279
Phone (623) 544-0300

Other identifiers 1

IdentifierTypeStateIssuer
932815MedicaidAZ

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

LicenseStateTypeSpecialty
6622AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vital Care Rehabilitation, LLC Physical Therapist CurrentSince Sep 26, 2024 Accepting new patients

Locations

14545 W Grand Ave
Ste 108
Surprise, AZ 85374
Phone (623) 544-0300

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1548200645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14545 W. GRAND AVE",
            "address_2": "SUITE 108",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853797279",
            "telephone_number": "623-544-0300",
            "fax_number": "623-544-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 W. GRAND AVE",
            "address_2": "SUITE 108",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853797279",
            "telephone_number": "623-544-0300",
            "fax_number": "623-544-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA",
        "first_name": "MICHELLE",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "932815",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.