Organization Active NPI

J.a.Santiago, Ms, RPT, P.a.

Doing business as Physical Therapy Walk-in/Santiago Therapy Center

  • Physical Therapy Clinic/Center
  • Tampa, FL
National Provider Identifier
1376875567
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT4581 Issued in FL
Legal business name
J.A.SANTIAGO, MS, RPT, P.A.
Doing business as
Physical Therapy Walk-in/Santiago Therapy Center
Practice address
1720 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6508
Phone
(813) 876-7400
Fax
(813) 877-8145
NPI assigned
Feb 12, 2010
Last updated
May 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Authorized official

Name
Jose A Santiago, MS, RPT, P.ANPI 1669643219
Title
Owner
Phone
(813) 876-7400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X
Physical Therapy Clinic/Center 261QP2000X PT4581 FL Primary
Occupational Medicine Clinic/Center 261QX0100X

Addresses

Primary practice location

1720 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6508

Mailing address

1720 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6508
Phone (813) 876-7400

Other identifiers 1

IdentifierTypeStateIssuer
PT4581OtherFLLICENSE

Other names 1

  • Physical Therapy Walk-in/Santiago Therapy Center Doing business as

National Provider Directory

National Provider Directory

Locations

1710 W Mlk Blvd
Tampa, FL 33607
Phone (813) 876-2400

1720 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607
Phone (813) 876-7400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1376875567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 W DR MARTIN LUTHER KING JR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076508",
            "telephone_number": "813-876-7400",
            "fax_number": "813-877-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 W DR MARTIN LUTHER KING JR BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076508",
            "telephone_number": "813-876-7400",
            "fax_number": "813-877-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.A.SANTIAGO, MS, RPT, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-12",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-876-7400",
        "authorized_official_credential": "MS, RPT, P.A"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT4581",
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PT4581",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy Walk-in/Santiago Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.