Individual provider Active NPI

Ernesto Garcia, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1841642881
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070021197 Issued in IL
Practice address
833 S State St
Chicago, IL 60605-2225
Phone
(877) 632-6637
Fax
(708) 409-5179
NPI assigned
Jul 1, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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 070021197 IL Primary

Addresses

Primary practice location

833 S State St
Chicago, IL 60605-2225

Mailing address

833 S State St
Chicago, IL 60605-2225
Phone (877) 632-6637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230505001964 IL Practitioner - Physical Therapist in Private Practice 6901261486 Reassigns benefits to 1 organization
I20260512000479 IN Practitioner - Physical Therapist in Private Practice 6901261486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthomidwest, PLLCGroup PAC ID 0749183713, 531 clinicians

Practice addresses (Care Compare)

770 Beloit Rd
Belvidere, IL 61008-1745
Phone (815) 398-9491

833 S State St
Chicago, IL 60605-2225
Phone (877) 632-6637

9200 Calumet Ave
Suite 300
Munster, IN 46321-2885
Phone (877) 632-6637

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomidwest, PLLC Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Orthomidwest, PLLC CurrentSince May 1, 2023 Accepting new patients
Mett Therapy Services, Inc. Physical Therapist Past Accepting new patients

Locations

770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060

1000 Commerce Ct
Ste 101
Bensenville, IL 60106
Phone (312) 432-2591

833 S State St
Chicago, IL 60605

9200 Calumet Ave
Ste 300
Munster, IN 46321
Phone (708) 236-2737

Interoperability endpoints

  • Direct secure messaging: ernesto.garcia.1@12576.direct.athenahealth.com

Organizations & group practices 3

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": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1841642881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 S STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052225",
            "telephone_number": "877-632-6637",
            "fax_number": "708-409-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 S STATE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052225",
            "telephone_number": "877-632-6637",
            "fax_number": "708-409-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ERNESTO",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-01",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070021197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.