Claudio Sandoval, PT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PT18257 Issued in FL

Practice address

1057 S Florida Ave # 8939
Lakeland, FL 33803-1114

Phone

(863) 617-9400

Fax

(863) 688-9858

NPI assigned

Oct 1, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Integrity Therapy, LLC

  • Physical Therapist
  • Clermont, FL
  • NPI 1265893408
  NPD

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1053083709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8939",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338068939",
            "telephone_number": "863-617-9400",
            "fax_number": "863-688-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 S FLORIDA AVE # 8939",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338031114",
            "telephone_number": "863-617-9400",
            "fax_number": "863-688-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "CLAUDIO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PT18257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "PT18257",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ned Sanders
• Vanessa Renee Sanders, APRN
• Vyctorea Sanders
• Dean Preston Sandifer, MD
• Benjamin Sandoval, M.D.
• Sanergy Administrative and Home Care Services
• Sanergy Administrative and Home Care Services
• Sanergy Transportation Services
• Julie Ann Sanford, LMT
• Yashri Sanghani, DMD

• Physical Therapy Assistant in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.