Provider Demographics
NPI:1538898259
Name:GARCIA, WINSTHONY (PT, DPT)
Entity type:Individual
Prefix:
First Name:WINSTHONY
Middle Name:
Last Name:GARCIA
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:WINSTHON
Other - Middle Name:
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:3109 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-4526
Mailing Address - Country:US
Mailing Address - Phone:516-369-4773
Mailing Address - Fax:
Practice Address - Street 1:418 BROADWAY # 8178
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12207-2922
Practice Address - Country:US
Practice Address - Phone:516-369-4773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-08
Last Update Date:2025-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPT-5679225100000X
VT040.0134562225100000X
DCPT210002410225100000X
MAPTL26810225100000X
NY048745225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist