Active NPI
Pamela Recella Garcia, RPT
- Physical Therapist
- Brooklyn, MD
National Provider Identifier
1942711098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 24457
- Practice address
- 613 Hammonds LN
Brooklyn, MD 21225-3351 - Phone
- (410) 636-3400
- NPI assigned
- Oct 17, 2017
- Last updated
- Oct 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 24457 | MD | Primary |
Addresses
Primary practice location
613 Hammonds LN
Brooklyn, MD 21225-3351
Mailing address
468 Retford Dr
Severna Park, MD 21146-1742
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24457 | Other | MD | MARYLAND BOARD OF PT LICENSE NUMBER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24457 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508198400000",
"number": "1942711098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "468 RETFORD DR",
"city": "SEVERNA PARK",
"state": "MD",
"postal_code": "211461742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 HAMMONDS LN",
"city": "BROOKLYN",
"state": "MD",
"postal_code": "212253351",
"telephone_number": "410-636-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "PAMELA",
"middle_name": "RECELLA",
"name_prefix": "Ms.",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-17",
"last_updated": "2017-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "MD",
"license": "24457",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND BOARD OF PT LICENSE NUMBER",
"identifier": "24457",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.