Individual provider Active NPI

Sherrie Ann Lanceta Aquino, DPT

  • Physical Therapist
  • Miramar Beach, FL
National Provider Identifier
1144776949
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT30709 Issued in FL
Practice address
7720 US Highway 98 W Ste 220
Miramar Beach, FL 32550-7231
Phone
(850) 622-5192
Fax
(850) 622-5196
NPI assigned
Aug 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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 PT30709 FL Primary

Addresses

Primary practice location

7720 US Highway 98 W Ste 220
Miramar Beach, FL 32550-7231

Mailing address

99 Eagle Bay LN
Santa Rosa Beach, FL 32459-8370
Phone (706) 980-8425

Other names 1

  • Sherrie Ann Lanceta Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161128001957 FL Practitioner - Physical Therapist in Private Practice 1850670324 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Surgeons PAGroup PAC ID 2769381391, 336 clinicians

Practice addresses (Care Compare)

13810 Sheldon Rd
Tampa, FL 33626-3619
Phone (813) 820-5908

310 Racetrack Rd NW
Fort Walton Beach, FL 32547-1553
Phone (850) 889-4550

65 Origins Pkwy
Inlet Beach, FL 32461-8702
Phone (850) 752-1286

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT30709FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Surgeons, PA CurrentSince May 1, 2023 Accepting new patients
South Walton Therapy Contracting LLC Physical Therapist CurrentSince Jun 23, 2024 Accepting new patients
North Florida Surgeons, PA CurrentSince May 1, 2023 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Feb 28, 2024 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Feb 28, 2024 Accepting new patients

Locations

310 Racetrack Rd NW
Fort Walton Beach, FL 32547
Phone (850) 362-7330

11945 San Jose Blvd
Ste 102
Jacksonville, FL 32223
Phone (904) 268-3937

Interoperability endpoints

  • Direct secure messaging: sherrie-ann.aquino.1@9109.direct.athenahealth.com

Organizations & group practices 5

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": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1144776949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 EAGLE BAY LN",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324598370",
            "telephone_number": "706-980-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 US HIGHWAY 98 W STE 220",
            "city": "MIRAMAR BEACH",
            "state": "FL",
            "postal_code": "325507231",
            "telephone_number": "850-622-5192",
            "fax_number": "850-622-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AQUINO",
        "first_name": "SHERRIE ANN",
        "middle_name": "LANCETA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT30709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERRIE ANN",
            "last_name": "LANCETA",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miramar Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.