Individual provider Active NPI

Marie Antoinette Sagnella, PTA

  • Physical Therapy Assistant
  • Dunedin, FL
National Provider Identifier
1063678803
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA20233 Issued in FL
Practice address
1239 Overcash Dr
Dunedin, FL 34698-4802
Phone
(727) 515-6866
NPI assigned
Jul 31, 2008
Last updated
Jul 31, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA20233 FL Primary

Addresses

Primary practice location

1239 Overcash Dr
Dunedin, FL 34698-4802

Mailing address

1239 Overcash Dr
Dunedin, FL 34698-4802
Phone (727) 515-6866

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
PTA20233FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1063678803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 OVERCASH DR",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346984802",
            "telephone_number": "727-515-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 OVERCASH DR",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346984802",
            "telephone_number": "727-515-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGNELLA",
        "first_name": "MARIE",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA20233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.