Active NPI
Al Delos Santos Legaspi, PT
- Physical Therapist
- Longwood, FL
National Provider Identifier
1184867459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT21905
- Practice address
- 155 Landover PL
Longwood, FL 32750-4924 - Phone
- (407) 937-1728
- NPI assigned
- Apr 15, 2009
- 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 Therapist | 225100000X | PT21905 | FL | Primary |
Addresses
Primary practice location
155 Landover PL
Longwood, FL 32750-4924
Mailing address
412 Lexingdale Dr
Orlando, FL 32828-9040
Phone (708) 655-2514
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239753600000",
"number": "1184867459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 LEXINGDALE DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328289040",
"telephone_number": "708-655-2514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 LANDOVER PL",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327504924",
"telephone_number": "407-937-1728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGASPI",
"first_name": "AL",
"middle_name": "DELOS SANTOS",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-15",
"last_updated": "2009-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT21905",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.