Faustino H. Garcia Jr., PHYSICAL THERAPIST

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

License

3034 Issued in TN

Practice address

180 Mount Pelia Rd
Martin, TN 38237-3812

Phone

(731) 587-4231

Fax

(731) 587-6716

NPI assigned

Sep 4, 2008

Last updated

Sep 10, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jun H. Garcia Other name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lakeway Physical Therapy Outpatient, PLLCGroup PAC ID 8527184001, 2 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lakeway Physical Therapy Outpatient, PLLC

  • Physical Therapy Clinic/Center
  • Dover, TN
  • NPI 1588809461
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1881842607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ARCHTREE LN",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382378127",
            "telephone_number": "731-587-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MOUNT PELIA RD",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373812",
            "telephone_number": "731-587-4231",
            "fax_number": "731-587-6716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "FAUSTINO",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "TN",
            "license": "3034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUN",
            "last_name": "GARCIA",
            "middle_name": "H.",
            "prefix": "DR.",
            "credential": "PHYSICAL THERAPIST",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lorrie Ann Frazier, OTR
• Anne M Fritcher, PA
• Carolyn Diana Fulcher, LCSW
• Debra Fulcher, M.S.
• Coleen C Garcia, PT
• Kimberly Gardner
• Stephanie Jeannette Gardner
• Perseveranda Garma, PT
• Karla L Garner, PHARMD
• Gary Brown (Children's Treatment Center)

• Rehabilitation Hospital in Martin, TN
• Providers in Martin, TN by specialty
• Rehabilitation Hospital in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.