Individual provider Active NPI

Sergio G Florian

  • Physical Therapist
  • Kaneohe, HI
National Provider Identifier
1205070950
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2740 Issued in HI
Practice address
45-277 Ka Hanahou Cir Apt B
Kaneohe, HI 96744-3056
Phone
(808) 673-0017
NPI assigned
Apr 25, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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 2740 HI Primary

Addresses

Primary practice location

45-277 Ka Hanahou Cir Apt B
Kaneohe, HI 96744-3056

Mailing address

45-277 Ka Hanahou Cir Apt B
Kaneohe, HI 96744-3056
Phone (808) 673-0017

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

LicenseStateTypeSpecialty
2740HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Physical Therapy LLC Past Accepting new patients

Organizations & group practices 1

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": "1240617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1205070950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-277 KA HANAHOU CIR APT B",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443056",
            "telephone_number": "808-673-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-277 KA HANAHOU CIR APT B",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443056",
            "telephone_number": "808-673-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORIAN",
        "first_name": "SERGIO",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-25",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "2740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.

Verify at the official NPI Registry.