Individual provider Active NPI

Timothy Anderson Garner Jr., LPT

  • Physical Therapist
  • Bastrop, TX
National Provider Identifier
1922119874
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
643460000 Issued in TX
Practice address
301 Highway 71 W
Ste 106
Bastrop, TX 78602-4105
Phone
(512) 321-9659
NPI assigned
Aug 31, 2006
Last updated
Jun 4, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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 643460000 TX Primary

Addresses

Primary practice location

301 Highway 71 W
Ste 106
Bastrop, TX 78602-4105

Mailing address

301 Highway 71 W
Ste 106
Bastrop, TX 78602-4105
Phone (512) 321-9659

Other identifiers 4

IdentifierTypeStateIssuer
01171398OtherTXAMERIGROUP
0074GROtherTXBLUE CROSS
146386101MedicaidTX
7113294OtherTXAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140506000048 TX Practitioner - Physical Therapist in Private Practice 1052470879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Garner and Riley Physical Therapy PCGroup PAC ID 0244399061, 5 clinicians

Practice addresses (Care Compare)

623 Hwy 71 W
Suite 100
Bastrop, TX 78602-4166
Phone (512) 321-9659

Merit-based Incentive Payment System (MIPS)

Final score
26.28 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
87.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
643460000TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Garner & Riley Physical Therapy PC Physical Therapist CurrentSince Mar 1, 2001 Accepting new patients

Locations

301 Highway 71 W
Ste 106
Bastrop, TX 78602
Phone (512) 321-9659

623 Highway 71 W
Ste 100
Bastrop, TX 78602
Phone (512) 321-9659

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244073600000",
    "number": "1922119874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HIGHWAY 71 W",
            "address_2": "STE 106",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024105",
            "telephone_number": "512-321-9659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HIGHWAY 71 W",
            "address_2": "STE 106",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786024105",
            "telephone_number": "512-321-9659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "TIMOTHY",
        "middle_name": "ANDERSON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "643460000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01171398",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0074GR",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146386101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7113294",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.