Individual provider Active NPI

Cheril Evangelista Carreon Sanchez, P.T.

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1386874709
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
24699 Issued in FL
Practice address
10660 Old Saint Augustine Rd
Jacksonville, FL 32257-1076
Phone
(904) 268-3447
NPI assigned
Jul 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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 24699 FL Primary

Addresses

Primary practice location

10660 Old Saint Augustine Rd
Jacksonville, FL 32257-1076

Mailing address

11950 Wynnfield Lakes Cir
Jacksonville, FL 32246-4232
Phone (562) 606-7515

Other names 1

  • Cheril Carreon Sanchez Former name

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

State licenses

LicenseStateTypeSpecialty
24699FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1386874709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11950 WYNNFIELD LAKES CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322464232",
            "telephone_number": "562-606-7515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10660 OLD SAINT AUGUSTINE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322571076",
            "telephone_number": "904-268-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARREON SANCHEZ",
        "first_name": "CHERIL",
        "middle_name": "EVANGELISTA",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "24699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERIL",
            "last_name": "SANCHEZ",
            "middle_name": "CARREON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.