Madison Nicole Santa Maria, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA33591 Issued in FL

Practice address

1705 17TH Ave
Vero Beach, FL 32960-3641

Phone

(772) 562-6877

NPI assigned

Jul 12, 2024

Last updated

Jul 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1184461543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10426 SW STRATTON DR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349872318",
            "telephone_number": "954-647-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 17TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603641",
            "telephone_number": "772-562-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTA MARIA",
        "first_name": "MADISON",
        "middle_name": "NICOLE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA33591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laura Jean Saputo

• Physical Therapy Assistant in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.