Active NPI
Faith Sapio Documento, PHYSICAL THERAPIST
- Physical Therapist
- Port St Lucie, FL
National Provider Identifier
1275781635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 21014
- Practice address
- 1405 SE Goldtree Dr
Suite D
Port St Lucie, FL 34952-7563 - Phone
- (772) 380-0025
- NPI assigned
- Aug 28, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 21014 | FL | Primary |
Addresses
Primary practice location
1405 SE Goldtree Dr
Suite D
Port St Lucie, FL 34952-7563
Mailing address
1405 SE Goldtree Dr
Suite D
Port St Lucie, FL 34952-7563
Phone (772) 380-0025
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219881600000",
"number": "1275781635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 SE GOLDTREE DR",
"address_2": "SUITE D",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527563",
"telephone_number": "772-380-0025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 SE GOLDTREE DR",
"address_2": "SUITE D",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527563",
"telephone_number": "772-380-0025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOCUMENTO",
"first_name": "FAITH",
"middle_name": "SAPIO",
"name_prefix": "Miss",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-28",
"last_updated": "2008-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 21014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.