Individual provider Active NPI

Antonio Marcelino Arroyo, P.T., D.P.T.

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1295101772
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 30558 Issued in FL
Practice address
10607 Sheldon Rd
Tampa, FL 33626-5114
Phone
(813) 792-1531
Fax
(813) 792-1721
NPI assigned
Aug 19, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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 30558 FL Primary

Addresses

Primary practice location

10607 Sheldon Rd
Tampa, FL 33626-5114

Mailing address

10607 Sheldon Rd
Tampa, FL 33626-5114
Phone (813) 792-1531

Other practice location 1

3037 Lakeland Hills Blvd
Lakeland, FL 33805-2225
Phone (863) 688-6931

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240530000451 FL Practitioner - Physical Therapist in Private Practice 2163864570 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 30558FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports and Orthopedic Rehabilitation Services Inc CurrentSince Apr 14, 2024 Accepting new patients
Sports and Orthopedic Rehabilitation Services, Inc. CurrentSince Apr 14, 2024 Accepting new patients

Locations

5347 Main St
Ste 202
New Prt Rchy, FL 34652
Phone (727) 841-0515

1807 Short Branch Dr
Ste 103
Trinity, FL 34655
Phone (727) 372-0182

10607 Sheldon Rd
Westchase, FL 33626
Phone (813) 792-1531

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1295101772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10607 SHELDON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336265114",
            "telephone_number": "813-792-1531",
            "fax_number": "813-792-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10607 SHELDON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336265114",
            "telephone_number": "813-792-1531",
            "fax_number": "813-792-1721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3037 Lakeland Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338052225",
            "country_code": "US",
            "telephone_number": "863-688-6931",
            "fax_number": "863-688-7545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARROYO",
        "first_name": "ANTONIO",
        "middle_name": "MARCELINO",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-19",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 30558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.