Active NPI
Michael Rivas Garaygay, PT
- Physical Therapist
- Lake St Louis, MO
National Provider Identifier
1962644765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2008037338
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 070-008459 | IL | MD | Physical Therapist |
| 2008037338 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magna Care Services LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Lake St Louis, MO
- NPI 1174267603
-
- Rehabilitation Clinic/Center
- Lenexa, KS
- NPI 1740233014
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.