Active NPI
Michael Robin Santerre
- Physical Therapy Assistant
- Cape Coral, FL
National Provider Identifier
1144577800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 21457
- Practice address
- 2629 Del Prado Blvd S
Cape Coral, FL 33904-5769 - Phone
- (239) 574-4464
- NPI assigned
- Aug 12, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 21457 | FL | Primary |
Addresses
Primary practice location
2629 Del Prado Blvd S
Cape Coral, FL 33904-5769
Mailing address
620 NW 19TH Ave
Cape Coral, FL 33993-6819
Phone (239) 218-4604
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21457 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344729600000",
"number": "1144577800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 NW 19TH AVE",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339936819",
"telephone_number": "239-218-4604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2629 DEL PRADO BLVD S",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339045769",
"telephone_number": "239-574-4464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTERRE",
"first_name": "MICHAEL",
"middle_name": "ROBIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-12",
"last_updated": "2012-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "21457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.