Michael Rivas Garaygay, PT
Physical Therapist in Lake St Louis, MO. Individual provider (NPI-1).
NPI number1962644765
StatusActive
Last updated in NPPESJul 23, 2025
Details
- NPI
- 1962644765
- Entity type
- Individual (NPI-1)
- Name
- Michael Rivas Garaygay
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 25, 2009
- Certification date
- Jul 23, 2025
- Last updated
- Jul 23, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2008037338 | MO | Yes |
| 225100000X | Physical Therapist | 070-008459 | IL |
Practice location
711 Stonewood Bend DrLake St Louis, MO 63367-4064
Phone 636-265-3185
Mailing address
711 Stonewood Bend DrLake St Louis, MO 63367-4064
Phone 636-265-2562 · Fax 636-561-0966
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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