Individual provider Active NPI

Tanya Ruth Quinones-Santiago, PT, DPT, MSPT

  • Physical Therapist
  • Longwood, FL
National Provider Identifier
1225162449
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
26911 Issued in FL
Practice address
1335 Bennett Dr Unit 119
Longwood, FL 32750-7606
Phone
(407) 287-6407
Fax
(407) 542-5455
NPI assigned
Mar 16, 2007
Last updated
Feb 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 26911 FL Primary
Sports Physical Therapist 2251S0007X 26911 FL
Orthopedic Physical Therapist 2251X0800X 26911 FL

Addresses

Primary practice location

1335 Bennett Dr Unit 119
Longwood, FL 32750-7606

Mailing address

411 Tradition LN
Winter Springs, FL 32708-6351
Phone (407) 579-0850

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
26911FLMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1225162449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 TRADITION LN",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327086351",
            "telephone_number": "407-579-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 BENNETT DR UNIT 119",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327507606",
            "telephone_number": "407-287-6407",
            "fax_number": "407-542-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES-SANTIAGO",
        "first_name": "TANYA",
        "middle_name": "RUTH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "26911",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "FL",
            "license": "26911",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "26911",
            "primary": false
        }
    ],
    "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 Feb 18, 2016; 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.