Active NPI
Paulo Lanausse Siqueira, DPT
- Physical Therapist
- Minneola, FL
National Provider Identifier
1356125595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT40588
- Practice address
- 236 Mohawk Rd
Minneola, FL 34715-7433 - Phone
- (352) 404-6908
- NPI assigned
- Aug 21, 2023
- Sex
- Male
- 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 | PT40588 | FL | Primary |
Addresses
Primary practice location
236 Mohawk Rd
Minneola, FL 34715-7433
Mailing address
8721 Via Trieste Dr
Windermere, FL 34786-6829
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
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1356125595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8721 VIA TRIESTE DR",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347866829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 MOHAWK RD",
"city": "MINNEOLA",
"state": "FL",
"postal_code": "347157433",
"telephone_number": "352-404-6908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANAUSSE SIQUEIRA",
"first_name": "PAULO",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-21",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT40588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minneola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.