Active NPI
David K Garcia, PT
- Specialist
- Albuquerque, NM
National Provider Identifier
1659388973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2611
- Practice address
- 7920 Carmel Ave NE
Suite 3
Albuquerque, NM 87122-2966 - Phone
- (505) 344-4959
- Fax
- (505) 341-0426
- NPI assigned
- Aug 1, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 2611 | NM | Primary |
Addresses
Primary practice location
7920 Carmel Ave NE
Suite 3
Albuquerque, NM 87122-2966
Mailing address
1017 Princeton Dr NE
Albuquerque, NM 87106-2628
Phone (505) 254-3617
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2611 | Other | NM | PT LICENSE # |
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 |
|---|---|---|---|
| 2611 | NM | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Clinic at la Cueva | 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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Albuquerque, NM
- NPI 1174567366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659388973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 PRINCETON DR NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871062628",
"telephone_number": "505-254-3617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7920 CARMEL AVE NE",
"address_2": "SUITE 3",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871222966",
"telephone_number": "505-344-4959",
"fax_number": "505-341-0426"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "DAVID",
"middle_name": "K",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NM",
"license": "2611",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE #",
"identifier": "2611",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
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.