Active NPI
Samuel M Garcia, D.P.T
- Physical Therapist
- Stockton, CA
National Provider Identifier
1629166731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 29514
- Practice address
- 3215 N California St Ste 4
Stockton, CA 95204-3433 - Phone
- (209) 464-6016
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 29514 | CA | Primary |
Addresses
Primary practice location
3215 N California St Ste 4
Stockton, CA 95204-3433
Mailing address
6036 Soares PL
Riverbank, CA 95367-3859
Phone (209) 869-3160
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic & Industrial Rehabilitatn Physical Therapy Inc a Prof Corp | Physical Therapist | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Modesto, CA
- NPI 1578531398
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629166731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6036 SOARES PL",
"city": "RIVERBANK",
"state": "CA",
"postal_code": "953673859",
"telephone_number": "209-869-3160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3215 N CALIFORNIA ST STE 4",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952043433",
"telephone_number": "209-464-6016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "SAMUEL",
"middle_name": "M",
"credential": "D.P.T",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "29514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.