Kelly Annete Garcia, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA02058100 Issued in NJ

Practice address

340 Ramapo Valley Rd
Oakland, NJ 07436

Phone

(973) 330-9046

NPI assigned

Nov 12, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Theraphysical LLCGroup PAC ID 4981856341, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Theraphysical, LLC

  • Physical Therapy Clinic/Center
  • Lyndhurst, NJ
  • NPI 1134463235
  Medicare reassignment Care Compare group NPD
• Chiropractic Works, LLC

  dba Oakland Spine and Physical Therapy

  • Chiropractor
  • Oakland, NJ
  • NPI 1043468895

  Physical Therapist

  Medicare reassignment NPD
• Theraphysical, LLC

  • Physical Therapist
  • Garfield, NJ
  • NPI 1821694670
  NPD

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1871259911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "789 CEDAR LN APT A",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661753",
            "telephone_number": "201-233-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 RAMAPO VALLEY RD",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "07436",
            "telephone_number": "973-330-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "KELLY",
        "middle_name": "ANNETE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02058100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Anthony Freund, DPT
• Lauryn Gadomski, BCBA
• Kristine Marie Gaffney, CCC-SLP
• Guillermo Enrique Gallegos, PH. D.
• Jessica Garcia, PT
• Garden State Orthopaedic Center, Inc.
• Anita Gardner, MS, RDN
• Karen A Garrett, DPT
• Sunya Garvin, P.T
• George Gombas MD LLC

• Physical Therapist in Oakland, NJ
• Providers in Oakland, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.