Individual provider Active NPI

Joana Caldeo Garcia

  • Physical Therapist
  • Herrin, IL
National Provider Identifier
1740816388
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070020552 Issued in IL
Practice address
1901 N 13TH St
Herrin, IL 62948-2839
Phone
(815) 685-9103
NPI assigned
Mar 16, 2020
Last updated
Mar 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070020552 IL Primary

Addresses

Primary practice location

1901 N 13TH St
Herrin, IL 62948-2839

Mailing address

726 Renshaw Ave Apt 7
Carmi, IL 62821-1578
Phone (815) 685-9103

Other practice location 1

1320 W 9th St
Mount Carmel, IL 62863-2905
Phone (815) 685-9103

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230515001026 IL Practitioner - Physical Therapist in Private Practice 2961868104 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Apr 3, 2023 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Apr 3, 2023 Accepting new patients

Locations

2155 W Pierce Ave
Chicago, IL 60622
Phone (773) 252-2066

1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446

Organizations & group practices 2

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": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1740816388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 RENSHAW AVE APT 7",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628211578",
            "telephone_number": "815-685-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N 13TH ST",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629482839",
            "telephone_number": "815-685-9103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 W 9th St",
            "address_purpose": "LOCATION",
            "city": "Mount Carmel",
            "state": "IL",
            "postal_code": "628632905",
            "country_code": "US",
            "telephone_number": "815-685-9103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JOANA",
        "middle_name": "CALDEO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070020552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herrin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.