Glenda Lee Santiago, L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 61731 Issued in FL

Practice address

10622 Devco Dr
Port Richey, FL 34668-2871

Phone

(727) 233-2025

Fax

(727) 233-6294

NPI assigned

Feb 17, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Glenda Lee Caban Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Robust Medical Center, Inc.

  • Rehabilitation Clinic/Center
  • Port Richey, FL
  • NPI 1285323790
  NPD

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1144527722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 E ESKIMO AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336042020",
            "telephone_number": "813-378-1184",
            "fax_number": "727-233-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10622 DEVCO DR",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346682871",
            "telephone_number": "727-233-2025",
            "fax_number": "727-233-6294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11961 N Florida Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336125213",
            "country_code": "US",
            "telephone_number": "813-303-2573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "GLENDA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-17",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 61731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST",
            "identifier": "MA 61731",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLENDA",
            "last_name": "CABAN",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Sabillena
• Jhonn E Salcedo
• Lindsay Samples, NP
• Nahomy De la Caridad Sanchez Arzola
• Selina M Santana, BA
• Esmeralda Santos
• Mary Elizabeth Scharmer, MA
• Jamey Lynn Schreck
• Madison Schwarz
• Scott D. Clough, OD , PA

• Massage Therapist in Port Richey, FL
• Providers in Port Richey, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.