Individual provider Active NPI

Charmaine Jimenez Garcia

  • Physical Therapist
  • Long Island City, NY
National Provider Identifier
1821794777
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
04515601 Issued in NY
Practice address
3427 41St St Apt 3L
Long Island City, NY 11101-1384
Phone
(929) 608-6940
NPI assigned
Feb 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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 04515601 NY Primary

Addresses

Primary practice location

3427 41St St Apt 3L
Long Island City, NY 11101-1384

Mailing address

3427 41St St Apt 3L
Long Island City, NY 11101-1384
Phone (929) 608-6940

Other practice location 1

13440 Cherry Ave # S2
Flushing, NY 11355-4796
Phone (929) 608-6940

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240126002561 NY Practitioner - Physical Therapist in Private Practice 4587017470 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nyc Home Rehab Physical Therapy PLLCGroup PAC ID 5991200180, 6 clinicians
PT and OT for Senior Rehab at Home PLLCGroup PAC ID 2668711573, 97 clinicians
Tamayo Physical Therapy PCGroup PAC ID 5890839369, 8 clinicians

Practice addresses (Care Compare)

Astoria, NY 11106
Phone (859) 810-1597

171 Kings Hwy
Brooklyn, NY 11223-1023
Phone (914) 837-6538

3 E 65TH St
Apt 4a
New York, NY 10065-6551
Phone (212) 535-2621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045156NYMDPharmacist
04515601NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT and OT for Senior Rehab at Home PLLC Physical Therapist CurrentSince Oct 1, 2025 Accepting new patients
Nyc Home Rehab Physical Therapy PLLC Physical Therapist CurrentSince Dec 1, 2025 Accepting new patients
Tamayo Physical Therapy P.C. Physical Therapist CurrentSince Nov 20, 2025 Accepting new patients
CJG Active Physical Therapy P.C. CurrentSince Dec 1, 2025 Accepting new patients

Locations

171 Kings Hwy
Brooklyn, NY 11223
Phone (877) 722-7700

8008 45th Ave
Ofc
Elmhurst, NY 11373

3 E 65th St
Apt 4A
New York, NY 10065
Phone (212) 535-2621

25 W 45th St
Ste 507
New York, NY 10036
Phone (201) 873-9334

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

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": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1821794777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3427 41ST ST APT 3L",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111011384",
            "telephone_number": "929-608-6940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3427 41ST ST APT 3L",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111011384",
            "telephone_number": "929-608-6940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13440 Cherry Ave # S2",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113554796",
            "country_code": "US",
            "telephone_number": "929-608-6940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "CHARMAINE",
        "middle_name": "JIMENEZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "04515601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.