Robert Anton Santiago, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5255 Issued in TN

Practice address

514 S High St
Waynesboro, TN 38485-2615

Phone

(931) 722-2778

Fax

(931) 722-7569

NPI assigned

Oct 31, 2012

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Prestige Physical Therapy

  • Physical Therapy Clinic/Center
  • Columbia, TN
  • NPI 1053566463
  NPD (past)
• Sonnys Place of Waynesboro

  • Occupational Therapist
  • Waynesboro, TN
  • NPI 1073299681
  NPD (past)

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1407100225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S HIGH ST",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384852615",
            "telephone_number": "931-722-2778",
            "fax_number": "931-722-7569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S HIGH ST",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384852615",
            "telephone_number": "931-722-2778",
            "fax_number": "931-722-7569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "ROBERT",
        "middle_name": "ANTON",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "5255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freda A Ray, MSW
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• Emma Francis Risner, OTR/L
• Katelyne Roberson, COTA/L
• Sleeprite Technologies
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• Callie Smith, COTA/L
• Christa Dawn Smotherman, L.M.T.
• Sonnys Place of Waynesboro

• Physical Therapy Assistant in Waynesboro, TN
• Providers in Waynesboro, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.