Individual provider Active NPI

Michael Rivas Garaygay, PT

  • Physical Therapist
  • Lake St Louis, MO
National Provider Identifier
1962644765
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2008037338 Issued in MO
Practice address
711 Stonewood Bend Dr
Lake St Louis, MO 63367-4064
Phone
(636) 265-3185
NPI assigned
Mar 25, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070-008459 IL
Physical Therapist 225100000X 2008037338 MO Primary

Addresses

Primary practice location

711 Stonewood Bend Dr
Lake St Louis, MO 63367-4064

Mailing address

711 Stonewood Bend Dr
Lake St Louis, MO 63367-4064
Phone (636) 265-2562

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

LicenseStateTypeSpecialty
070-008459ILMDPhysical Therapist
2008037338MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Magna Care Services LLC Physical Therapist CurrentSince Aug 17, 2025 Accepting new patients
Rehabcare Group East, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1962644765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 STONEWOOD BEND DR",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633674064",
            "telephone_number": "636-265-2562",
            "fax_number": "636-561-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 STONEWOOD BEND DR",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633674064",
            "telephone_number": "636-265-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARAYGAY",
        "first_name": "MICHAEL",
        "middle_name": "RIVAS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-25",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-008459",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2008037338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake St Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.