Jake Adam Garbeck, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P-CP011461T Issued in NC

Practice address

4140 Ferncreek Dr Ste 802
Fayetteville, NC 28314-2572

Phone

(910) 484-2171

Fax

(910) 484-4568

NPI assigned

Jul 19, 2019

Last updated

May 20, 2022By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jake.garbeckdpt.p1@direct.capefearortho.nextgenshare.com

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.

• Texas Physical Therapy Specialists

  • Physical Therapy Clinic/Center
  • Austin, TX
  • NPI 1538246798

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1952954935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 FERNCREEK DR STE 802",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142572",
            "telephone_number": "910-484-2171",
            "fax_number": "910-484-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 FERNCREEK DR STE 802",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142572",
            "telephone_number": "910-484-2171",
            "fax_number": "910-484-4568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 E William Cannon Dr Ste 225",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787456644",
            "country_code": "US",
            "telephone_number": "512-270-2060",
            "fax_number": "512-270-2061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARBECK",
        "first_name": "JAKE",
        "middle_name": "ADAM",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-19",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P-CP011461T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Michael Gannon, M.D.
• April Gant, MSN, FNP-BC
• Keri Gant
• Timothy Gant, LPC, LCAS, CSI
• Bianca Patterson Gantt, LCSW
• Chanelise Garcia, OTR/L
• Ellen Garcia
• Gabrielle Grace Garcia
• Paola Garcia
• Monica Garde

• Physical Therapist in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; 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.