Segundo Steven Huerta, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT29010 Issued in FL

Practice address

4243 Sunbeam Rd
Suite 2
Jacksonville, FL 32257-8848

Phone

(904) 448-2005

Fax

(904) 448-1185

NPI assigned

Jun 29, 2009

Sex

Male

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

Interoperability endpoints

• Direct secure messaging: steven.huerta@22525903.chartlogic.direct-ci.com

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1275761272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57970",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322417970",
            "telephone_number": "904-448-2005",
            "fax_number": "904-448-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4243 SUNBEAM RD",
            "address_2": "SUITE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578848",
            "telephone_number": "904-448-2005",
            "fax_number": "904-448-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUERTA",
        "first_name": "SEGUNDO",
        "middle_name": "STEVEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-29",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL 2313",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT29010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Dawn Hudson
• Paul Andrew Hudson
• Taylor Brandt Hudson, DPT
• Jessie Huebner, LMHC, LPC, CEDS-C
• Brian Huei, ARNP
• Virgilio R Huerta, M.D.
• Jacqueline Huey
• Samala Huff
• Stephanie Lyn Huff, MS, CCC/SLP
• Danny Duane Huffman, CRNA

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.