NPIMap

Organization Active NPI

Garner Physical Therapy Center LLC

  • Physical Therapist
  • Ruskin, FL
National Provider Identifier
1659387314
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GARNER PHYSICAL THERAPY CENTER LLC
Practice address
827 Cypress Village Blvd
Ruskin, FL 33573-6838
Phone
(813) 633-0669
Fax
(813) 633-0881
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Alicia Carter Garner, PT
Title
Owner
Phone
(813) 633-0669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

827 Cypress Village Blvd
Ruskin, FL 33573-6838

Mailing address

827 Cypress Village Blvd
Ruskin, FL 33573-6838
Phone (813) 633-0669

Other identifiers 1

IdentifierTypeStateIssuer
DA6129OtherFLMEDICARE RAILROAD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040601001143 FL Part B Supplier - Clinic/Group Practice 4688656036 Receives reassigned benefits from 3 practitioners
Practice locations: Sun City Center, FL

National Provider Directory

National Provider Directory

Locations

827 Cypress Village Blvd
Sun City Center, FL 33573
Phone (813) 633-0669

827 Cypress Village Blvd
Ste A
Sun City Ctr, FL 33573
Phone (813) 633-0669

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659387314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 CYPRESS VILLAGE BLVD",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335736838",
            "telephone_number": "813-633-0669",
            "fax_number": "813-633-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 CYPRESS VILLAGE BLVD",
            "city": "RUSKIN",
            "state": "FL",
            "postal_code": "335736838",
            "telephone_number": "813-633-0669",
            "fax_number": "813-633-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARNER PHYSICAL THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-22",
        "certification_date": "2020-02-25",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "CARTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-633-0669",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "DA6129",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruskin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.