Paulo Homero Sicangco, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

7749 Normandy Blvd Ste 147
Jacksonville, FL 32221-7658

Phone

(904) 786-5676

NPI assigned

Aug 12, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, CA2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Genesis Health Development Inc

  • Rehabilitation Clinic/Center
  • Jacksonville, FL
  • NPI 1033154992
  Medicare reassignment NPD
• MDRS Spine & Sport, Inc

  • Multi-Specialty Clinic/Center
  • San Diego, CA
  • NPI 1952394603

  Physical Therapist

  Medicare reassignment NPD
• Genesis Health Development, Inc.

  • Rehabilitation Clinic/Center
  • Clermont, FL
  • NPI 1528707379
  NPD
• MDRS Spine & Sport, Inc

  • Physical Therapist
  • Temecula, CA
  • NPI 1689824203
  NPD

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1376218172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 MONTILLA DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322465526",
            "telephone_number": "904-805-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7749 NORMANDY BLVD STE 147",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322217658",
            "telephone_number": "904-786-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICANGCO",
        "first_name": "PAULO",
        "middle_name": "HOMERO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonard A Shvartzman, MD
• Hussam Eldin Moh Shwaib, MD
• John Edwin Dima-Ala Sia, MD
• Luba Vassileva Sibacheva, PTA
• Temia Sibley
• Rosalia D Sicard
• Anne Marie Sickinger, ARNP
• Anwer Mukhtar Siddiqi, M.D.
• Nauman Saleem Siddiqui, MD
• Zahid Mohammed Siddiqui, M.D.

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.