Active NPI
Narciso Salvoro Sardual, RPT
- Physical Therapist
- Orlando, FL
National Provider Identifier
1295095305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1214093
- Practice address
- 12124 High Tech Ave Ste 300
Orlando, FL 32817-8374 - Phone
- (800) 774-7785
- Fax
- (877) 219-7175
- NPI assigned
- May 22, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1214093 | TX | Primary |
| Physical Therapist | 225100000X | 2012001197 | MO | |
| Physical Therapist | 225100000X | J1-0002787 | DE |
Addresses
Primary practice location
12124 High Tech Ave Ste 300
Orlando, FL 32817-8374
Mailing address
9712 Kapri LN
Houston, TX 77025-4804
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
39 Short Cut Rd
PO Box 290
Inchelium, WA 99138-0290
PO Box
Suite 290
Inchelium, WA 99138-0290
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J1-0002787 | DE | MD | Physical Therapist |
| 2012001197 | MO | MD | Physical Therapist |
| 1214093 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colville Nation Community Health Centers | Current | Accepting new patients | |
| Colville Nation Community Health Centers | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Inchelium, WA
- NPI 1043335961
TX
-
- Federally Qualified Health Center (FQHC)
- Inchelium, WA
- NPI 1679697155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337644800000",
"number": "1295095305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9712 KAPRI LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770254804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12124 HIGH TECH AVE STE 300",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328178374",
"telephone_number": "800-774-7785",
"fax_number": "877-219-7175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARDUAL",
"first_name": "NARCISO",
"middle_name": "SALVORO",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-22",
"last_updated": "2012-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1214093",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2012001197",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J1-0002787",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.