Individual provider Active NPI

Maria Sylvia Garcia, P.T.

  • Specialist
  • Prescott, AZ
National Provider Identifier
1699773317
Registry record updated Sep 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1133 Issued in AZ
Practice address
1526 Idylwild Dr
Suite a
Prescott, AZ 86305-2237
Phone
(928) 442-1234
Fax
(928) 442-1351
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1133 AZ Primary

Addresses

Primary practice location

1526 Idylwild Dr
Suite a
Prescott, AZ 86305-2237

Mailing address

2285 Thumb Butte Rd
Prescott, AZ 86305-7551
Phone (928) 443-5223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050627001105 AZ Practitioner - Physical Therapist in Private Practice 7214972587 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Canyon Physical Therapy and Aquatic Rehabilitation PLLCGroup PAC ID 0749292258, 4 clinicians

Practice addresses (Care Compare)

2852 N Navajo Dr
Suite a
Prescott Valley, AZ 86314-4966
Phone (928) 772-9797

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1133AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Canyon Physical Therapy and Aquatic Rehabilitation, P.L.L.C. CurrentSince May 24, 2019 Accepting new patients
Backways Physical Therapy, PLLC Physical Therapist CurrentSince Apr 1, 2019 Accepting new patients
Hope Pelvic Rehabilitation & Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

250 S McCormick St
Prescott, AZ 86303
Phone (928) 710-6079

2852 N Navajo Dr
Ste A
Prescott Vly, AZ 86314
Phone (928) 772-9797

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1699773317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 THUMB BUTTE RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863057551",
            "telephone_number": "928-443-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 IDYLWILD DR",
            "address_2": "SUITE A",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863052237",
            "telephone_number": "928-442-1234",
            "fax_number": "928-442-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MARIA",
        "middle_name": "SYLVIA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "1133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.