Individual provider Active NPI

Giancarlo Garcia Centeno

  • Physical Therapist
  • San Francisco, CA
National Provider Identifier
1841015518
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
307098 Issued in CA
Practice address
22 Battery St Ste 888
San Francisco, CA 94111-5522
Phone
(415) 732-5608
Fax
(415) 732-0345
NPI assigned
Nov 18, 2024
Last updated
Nov 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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 307098 CA Primary

Addresses

Primary practice location

22 Battery St Ste 888
San Francisco, CA 94111-5522

Mailing address

PO Box 253
Berkeley, CA 94701-0253
Phone (415) 732-5608

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250326001052 CA Practitioner - Physical Therapist in Private Practice 3274056734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
G Sports Physical Therapy, Inc.Group PAC ID 3173792538, 7 clinicians

Practice addresses (Care Compare)

22 Battery St
Suite 888
San Francisco, CA 94111-5522
Phone (415) 732-5608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
307098CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
G Sports Physical Therapy, Inc. Single Specialty CurrentSince Jan 17, 2025 Accepting new patients

Locations

22 Battery St
Ste 888
San Francisco, CA 94111
Phone (415) 388-8166

470 3rd St
San Francisco, CA 94107
Phone (415) 356-0800

Organizations & group practices 1

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": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1841015518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 253",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947010253",
            "telephone_number": "415-732-5608",
            "fax_number": "415-732-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BATTERY ST STE 888",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941115522",
            "telephone_number": "415-732-5608",
            "fax_number": "415-732-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTENO",
        "first_name": "GIANCARLO",
        "middle_name": "GARCIA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "307098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.