Active NPI
Sarah Waitekus, DPT
- Physical Therapist
- Cape Coral, FL
National Provider Identifier
1306622642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT39012
- Practice address
- 636 Del Prado Blvd S
Cape Coral, FL 33990-2668 - Phone
- (239) 424-2000
- NPI assigned
- Sep 4, 2023
- Last updated
- Sep 4, 2023
- 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 | PT39012 | FL | Primary |
Addresses
Primary practice location
636 Del Prado Blvd S
Cape Coral, FL 33990-2668
Mailing address
1301 SW 18TH Ter
Cape Coral, FL 33991-3232
Phone (239) 223-1103
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT39012 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693785600000",
"number": "1306622642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 SW 18TH TER",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339913232",
"telephone_number": "239-223-1103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "636 DEL PRADO BLVD S",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339902668",
"telephone_number": "239-424-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAITEKUS",
"first_name": "SARAH",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-04",
"last_updated": "2023-09-04",
"certification_date": "2023-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT39012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cape Coral, FL
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.