Individual provider Active NPI

Ilse Maria Garcia, PT, DPT

  • Physical Therapist
  • San Antonio, TX
National Provider Identifier
1851848907
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1261885 Issued in TX
Practice address
3100 Nacogdoches Rd Ste 105
San Antonio, TX 78217-3332
Phone
(210) 496-5588
Fax
(210) 451-8058
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2247 ND
Physical Therapist 225100000X 1261885 TX Primary

Addresses

Primary practice location

3100 Nacogdoches Rd Ste 105
San Antonio, TX 78217-3332

Mailing address

3100 Nacogdoches Rd Ste 105
San Antonio, TX 78217-3332
Phone (210) 496-5588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2247NDMDCounselor
1261885TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DMH-PT Inc Physical Therapist CurrentSince Sep 27, 2020 Accepting new patients

Locations

3100 Nacogdoches Rd
Ste 105
San Antonio, TX 78217
Phone (210) 496-5588

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1851848907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 NACOGDOCHES RD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173332",
            "telephone_number": "210-496-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NACOGDOCHES RD STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173332",
            "telephone_number": "210-496-5588",
            "fax_number": "210-451-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ILSE",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "2247",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1261885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.