Active NPI
Dafinie Garcon, DPT, MSMS, MBA
- Physical Therapist
- Orlando, FL
National Provider Identifier
1700461191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT36987
- Practice address
- 4705 S Apopka Vineland Rd Ste 100
Orlando, FL 32819-3151 - Phone
- (407) 905-9300
- Fax
- (407) 905-9309
- NPI assigned
- Mar 17, 2021
- Last updated
- Mar 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTT36987 | FL | |
| Physical Therapist | 225100000X | PT36987 | FL | Primary |
Addresses
Primary practice location
4705 S Apopka Vineland Rd Ste 100
Orlando, FL 32819-3151
Mailing address
2865 Autumn Breeze Way
Kissimmee, FL 34744-9273
Phone (407) 655-7206
Other names 1
- Dafinie Jacques
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)
- Not enrolled
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT36987 | FL | MD | Physical Therapist |
| PTT36987 | FL | MD | Physical Therapist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647907200000",
"number": "1700461191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2865 AUTUMN BREEZE WAY",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347449273",
"telephone_number": "407-655-7206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4705 S APOPKA VINELAND RD STE 100",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328193151",
"telephone_number": "407-905-9300",
"fax_number": "407-905-9309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCON",
"first_name": "DAFINIE",
"name_prefix": "Dr.",
"credential": "DPT, MSMS, MBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-17",
"last_updated": "2022-03-22",
"certification_date": "2022-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PTT36987",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT36987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAFINIE",
"last_name": "JACQUES",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.