Individual provider Active NPI

Dana Scioli, DPT

  • Physical Therapist
  • St Augustine, FL
National Provider Identifier
1306543467
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT39811 Issued in FL
Practice address
1690 US Highway 1 S Ste a
St Augustine, FL 32084-6024
Phone
(904) 810-2101
NPI assigned
Feb 9, 2023
Last updated
Feb 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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 PT39811 FL Primary

Addresses

Primary practice location

1690 US Highway 1 S Ste a
St Augustine, FL 32084-6024

Mailing address

2669 Gorda Bella Ave
St Augustine, FL 32086-5337

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250625002239 FL Practitioner - Physical Therapist in Private Practice 9133631054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Rehab and Sports MedicineGroup PAC ID 5294977666, 7 clinicians

Practice addresses (Care Compare)

360 Palm Coast Pkwy N E
Palm Coast, FL 32137-4764
Phone (386) 446-4101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT39811FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Rehab and Sports Medicine Physical Therapist CurrentSince Jun 12, 2025 Accepting new patients

Locations

360 Palm Coast Pkwy NE
Palm Coast, FL 32137
Phone (386) 446-4101

360 Palm Coast Pkwy NE
#N
Palm Coast, FL 32137
Phone (386) 446-4101

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1306543467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2669 GORDA BELLA AVE",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 US HIGHWAY 1 S STE A",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320846024",
            "telephone_number": "904-810-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIOLI",
        "first_name": "DANA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT39811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.