Individual provider Active NPI

Aaron Richard Santiso, MPT, PES, CLT

  • Physical Therapist
  • Fort Lauderdale, FL
National Provider Identifier
1245252154
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 21532 Issued in FL
Practice address
3000 Bayview Dr
Fort Lauderdale, FL 33306-1772
Phone
(954) 533-5543
Fax
(754) 223-2596
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 PT 21532 FL Primary

Addresses

Primary practice location

3000 Bayview Dr
Fort Lauderdale, FL 33306-1772

Mailing address

3200 N Federal Hwy
Fort Lauderdale, FL 33306-1062
Phone (954) 533-5543

Other practice location 1

110 N Federal Hwy Apt 915
Fort Lauderdale, FL 33301-3515
Phone (954) 288-7480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050627000139 FL Practitioner - Physical Therapist in Private Practice 6608811062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2419 E Commercial Blvd
Suite 201
Fort Lauderdale, FL 33308-4042
Phone (954) 533-5543

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 21532FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Santiso PT, Inc Physical Therapist CurrentSince Feb 22, 2012 Accepting new patients

Locations

3000 Bayview Dr
Ft Lauderdale, FL 33306
Phone (954) 393-1708

3296 N Federal Hwy
#11833
Ft Lauderdale, FL 33306

2419 E Commercial Blvd
Ste 201
Ft Lauderdale, FL 33308
Phone (954) 288-7480

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245252154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 N FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061062",
            "telephone_number": "954-533-5543",
            "fax_number": "754-223-2596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 BAYVIEW DR",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061772",
            "telephone_number": "954-533-5543",
            "fax_number": "754-223-2596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 N Federal Hwy Apt 915",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333013515",
            "country_code": "US",
            "telephone_number": "954-288-7480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTISO",
        "first_name": "AARON",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "MPT, PES, CLT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 21532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.