Leide Santos, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01940500 Issued in NJ

Practice address

1119 Broad St
Newark, NJ 07114-2501

Phone

(929) 333-0882

NPI assigned

Oct 6, 2020

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

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Theraphysical LLCGroup PAC ID 4981856341, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Theraphysical, LLC

  • Physical Therapy Clinic/Center
  • Lyndhurst, NJ
  • NPI 1134463235
  Medicare reassignment Care Compare group NPD
• Jireh Healthcare LLC

  • Physical Therapist
  • West Orange, NJ
  • NPI 1598263154
  Medicare reassignment NPD
• Theraphysical, LLC

  • Physical Therapist
  • Garfield, NJ
  • NPI 1821694670
  NPD
• Rapha Physical Therapy LLC

  • Physical Therapist
  • Newark, NJ
  • NPI 1396379434
  NPD (past)

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1225635915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 BROAD ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071142501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 BROAD ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071142501",
            "telephone_number": "929-333-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "LEIDE",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01940500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jirehhealthcarellc@gmail.com",
            "affiliation": "N",
            "address_1": "1119 Broad St",
            "city": "Newark",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "071142501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jirehhealthcarellc@gmail.com",
            "affiliation": "N",
            "address_1": "1119 Broad St",
            "city": "Newark",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "071142501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James Joseph Santiago, D.C., C.A.
• Anthony Santigate, THERAPY DIR II
• Joseph G Santitoro
• Brenda Santos
• Cynthia Darlene Santos, M.D.
• Mary Judy Santos, APN
• Rasheed Sanyaolu, M.D
• Libero Saraceno, MD
• Vincent Saraceno, D.C.
• Megha Sarada

• Physical Therapist in Newark, NJ
• Providers in Newark, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.