Active NPI
Sandra Huggard, PT
- Physical Therapist
- New Smyrna Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT14998
- Practice address
- 900 N Dixie Fwy
Ste 916
New Smyrna Beach, FL 32168-6220 - Phone
- (386) 314-3409
- Fax
- (866) 239-9013
- NPI assigned
- Sep 27, 2006
- Last updated
- Nov 23, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT14998 | FL | Primary |
Addresses
Primary practice location
900 N Dixie Fwy
Ste 916
New Smyrna Beach, FL 32168-6220
Mailing address
900 N Dixie Fwy
Ste 916
New Smyrna Beach, FL 32168-6220
Phone (386) 314-3409
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 889121400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3704 Cardinal Blvd
Daytona Beach Shores, FL 32118-7301
Phone (386) 426-7885
600 Eaton Rd
Edgewater, FL 32132-3524
Phone (386) 426-7885
916 N Dixie Fwy
New Smyrna Beach, FL 32168-6220
Phone (386) 426-7885
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Water Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
916 N Dixie Fwy
New Smyrna Beach, FL 32168
Phone (386) 426-7885
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385164800000",
"number": "1073604005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 N DIXIE FWY",
"address_2": "STE 916",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321686220",
"telephone_number": "386-314-3409",
"fax_number": "866-239-9013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 N DIXIE FWY",
"address_2": "STE 916",
"city": "NEW SMYRNA BEACH",
"state": "FL",
"postal_code": "321686220",
"telephone_number": "386-314-3409",
"fax_number": "866-239-9013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGGARD",
"first_name": "SANDRA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2013-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT14998",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "889121400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Smyrna Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.