Individual provider Active NPI

Andres Vicente Garcia, PT, DPT

  • Physical Therapist
  • Navarre, FL
National Provider Identifier
1740886118
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT36138 Issued in FL
Practice address
8199 Navarre Pkwy Ste 12a
Navarre, FL 32566-6941
Phone
(850) 939-1233
NPI assigned
Dec 9, 2020
Last updated
Dec 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 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 PT36138 FL Primary

Addresses

Primary practice location

8199 Navarre Pkwy Ste 12a
Navarre, FL 32566-6941

Mailing address

6840 Flintwood St
Navarre, FL 32566-8696
Phone (850) 512-7149

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201215001124 FL Practitioner - Physical Therapist in Private Practice 1355753476 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

Practice addresses (Care Compare)

4406 N Davis Hwy
Pensacola, FL 32503-2756
Phone (850) 435-4800

Merit-based Incentive Payment System (MIPS)

Final score
81.79 of 100Reported as group
Quality
64.42
Promoting interoperability
100
Improvement activities
40
Cost
74.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT36138FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Rehab Management, LLC Physical Therapist CurrentSince Jan 11, 2021 Accepting new patients
Premier Rehab Management, LLC Physical Therapist CurrentSince Jan 11, 2021 Accepting new patients
Premier Rehab Management, LLC Physical Therapist CurrentSince Dec 13, 2020 Accepting new patients
North Florida Surgeons, PA CurrentSince May 1, 2023 Accepting new patients
North Florida Surgeons, PA CurrentSince May 1, 2023 Accepting new patients

Locations

36474C Emerald Coast Pkwy
Ste 3101
Destin, FL 32541
Phone (850) 344-1646

73 Eglin Pkwy NE
Fort Walton Beach, FL 32548

5660 Gulf Breeze Pkwy
Ste 1A
Gulf Breeze, FL 32563
Phone (850) 607-3546

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

11945 San Jose Blvd
Ste 300
Jacksonville, FL 32223

5750 Berryhill Rd
Milton, FL 32570
Phone (850) 433-6918

8199 Navarre Pkwy
#12A
Navarre, FL 32566
Phone (850) 939-1233

8199 Navarre Pkwy
Ste 12A
Navarre, FL 32566
Phone (850) 939-1233

4304 N Davis Hwy
Ste A
Pensacola, FL 32503

4406 N Davis Hwy
Pensacola, FL 32503
Phone (850) 434-1570

249 Mack Bayou Loop
Ste 101
Santa Rosa Beach, FL 32459
Phone (850) 622-0842

Interoperability endpoints

  • Direct secure messaging: andres.garcia.1@9109.direct.athenahealth.com

Organizations & group practices 5

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": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1740886118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 FLINTWOOD ST",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325668696",
            "telephone_number": "850-512-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8199 NAVARRE PKWY STE 12A",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325666941",
            "telephone_number": "850-939-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ANDRES",
        "middle_name": "VICENTE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.