Jacqueline A Santiago, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305212539 Issued in VA

Practice address

801 Poindexter St Ste 219
Chesapeake, VA 23324-2358

Phone

(757) 548-0014

Fax

(757) 351-1930

NPI assigned

Nov 8, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Independence Physical Therapy LLC

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1750037610
  NPD
• The Therapy Network Inc

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1760467021
  NPD

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1194238444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412307",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416177",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 POINDEXTER ST STE 219",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233242358",
            "telephone_number": "757-548-0014",
            "fax_number": "757-351-1930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31764 Casino Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Lake Elsinore",
            "state": "CA",
            "postal_code": "92530",
            "country_code": "US",
            "telephone_number": "951-471-3300",
            "fax_number": "951-471-3301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "JACQUELINE",
        "middle_name": "A",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "293957",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305212539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenni Rae Sanderlin, M.S., CCC-SLP
• Lori Catherine Sandoval, MSCCCSLP
• Thomas Newton Santa Jr., FNP, ACNP
• Tirza S Santiago-Rodriguez, M.D.
• Damaris Santiago, LCSW
• Nelson V Santiago, P.A.
• Arrielle Deziure Santiful
• Eric C Santjer, DC
• Suzanne M Santjer, DC
• Lee Joseph Aficial Santorum, NONE

• Physical Therapist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.