Individual provider Active NPI

Fane Sigal, PT

  • Physical Therapist
  • Osprey, FL
National Provider Identifier
1104872043
Registry record updated Dec 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21400 Issued in FL
Practice address
436 S Tamiami TRL
Osprey, FL 34229-9206
Phone
(941) 375-8624
Fax
(888) 375-9314
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT21400 FL Primary

Addresses

Primary practice location

436 S Tamiami TRL
Osprey, FL 34229-9206

Mailing address

436 S Tamiami TRL
Osprey, FL 34229-9206
Phone (941) 375-8624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051214000530 FL Practitioner - Physical Therapist in Private Practice 3971524240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SDS Medical, LLCGroup PAC ID 0547501736, 6 clinicians

Practice addresses (Care Compare)

5831 Bee Ridge Rd
Suite 300
Sarasota, FL 34233-5090
Phone (941) 378-5100

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT21400FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
SDS Medical, LLC Physical Therapist CurrentSince Apr 1, 2019 Accepting new patients
Total Therapy Solutions LLC Physical Therapist PastSince Jul 1, 2011 Accepting new patients

Locations

5831 Bee Ridge Rd
Ste 300
Sarasota, FL 34233
Phone (941) 378-5100

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1104872043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 S TAMIAMI TRL",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "342299206",
            "telephone_number": "941-375-8624",
            "fax_number": "888-375-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 S TAMIAMI TRL",
            "city": "OSPREY",
            "state": "FL",
            "postal_code": "342299206",
            "telephone_number": "941-375-8624",
            "fax_number": "888-375-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGAL",
        "first_name": "FANE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osprey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.

Verify at the official NPI Registry.