Individual provider Active NPI

Enrique Garcia, DPT

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
National Provider Identifier
1770917908
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
036451-1 Issued in NY
Practice address
9920 4TH Ave
Suite 103
Brooklyn, NY 11209-8333
Phone
(718) 844-5350
Fax
(718) 390-0067
NPI assigned
Aug 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 036451-1 NY Primary

Addresses

Primary practice location

9920 4TH Ave
Suite 103
Brooklyn, NY 11209-8333

Mailing address

31 New Dorp LN
Staten Island, NY 10306-2351
Phone (718) 844-5350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140522000117 NY Practitioner - Physical Therapist in Private Practice 3678796570 Reassigns benefits to 2 organizations
I20190711000330 NJ Practitioner - Physical Therapist in Private Practice 3678796570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RB Physical and Occupational Therapy, PLLCGroup PAC ID 5294870226, 312 clinicians

Practice addresses (Care Compare)

1 Hanson PL
Suite 401
Brooklyn, NY 11243-2907
Phone (718) 230-0631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036451-1NYMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RB Physical and Occupational Therapy PLLC CurrentSince May 15, 2017 Accepting new patients
Jag-One Physical Therapy, LLC CurrentSince Jun 11, 2019 Accepting new patients
One on One Physical Therapy Services PLLC PastSince May 15, 2017 Accepting new patients

Locations

981 US Highway 22
Fl 2
Bridgewater, NJ 08807
Phone (908) 231-0511

323 Marin Blvd
Jersey City, NJ 07302
Phone (551) 222-4520

622 Eagle Rock Ave
West Orange, NJ 07052
Phone (973) 669-0078

900 Route 9 N
Ste 410
Woodbridge, NJ 07095

10 Woodbridge Center Dr
Ste 102
Woodbridge, NJ 07095
Phone (732) 588-6935

9920 4th Ave
Ste 103
Brooklyn, NY 11209
Phone (718) 238-9873

4013 Avenue U
Brooklyn, NY 11234
Phone (718) 692-0949

1 Hanson Pl
Ste 401
Brooklyn, NY 11243
Phone (718) 230-0631

4010 Avenue U
Brooklyn, NY 11234
Phone (718) 692-1155

1351 Forest Ave
Staten Island, NY 10302
Phone (718) 390-0060

31 New Dorp Ln
Staten Island, NY 10306
Phone (718) 370-3500

2965 Veterans Rd W
Ste A
Staten Island, NY 10309
Phone (718) 874-1012

1243 Woodrow Rd
Ste 323
Staten Island, NY 10309
Phone (718) 966-0111

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1770917908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 NEW DORP LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103062351",
            "telephone_number": "718-844-5350",
            "fax_number": "718-390-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 4TH AVE",
            "address_2": "SUITE 103",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098333",
            "telephone_number": "718-844-5350",
            "fax_number": "718-390-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ENRIQUE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-23",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "036451-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.