NPIMap

Organization Active NPI

SDS Medical, LLC

  • Orthopedic Physical Therapist
  • Sarasota, FL
National Provider Identifier
1407323561
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
SDS MEDICAL, LLC
Practice address
5831 Bee Ridge Rd Ste 300
Sarasota, FL 34233-5090
Phone
(941) 284-8471
NPI assigned
Oct 26, 2018
Last updated
Dec 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Fane F Sigal, DPTNPI 1104872043
Title
Rehab Director
Phone
(941) 378-5100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

5831 Bee Ridge Rd Ste 300
Sarasota, FL 34233-5090

Mailing address

5831 Bee Ridge Rd Ste 300
Sarasota, FL 34233-5090
Phone (941) 378-5100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190417000781 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0547501736 Receives reassigned benefits from 10 practitioners
Practice locations: Sarasota, FL
O20200401001204 FL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 0547501736 Practice locations: Sarasota, FL

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

5831 Bee Ridge Rd
Ste 300
Sarasota, FL 34233
Phone (941) 378-5100

Practitioners & affiliated clinicians

Practitioners 11

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": "1540512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1407323561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5831 BEE RIDGE RD STE 300",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335090",
            "telephone_number": "941-378-5100",
            "fax_number": "941-960-1962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5831 BEE RIDGE RD STE 300",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342335090",
            "telephone_number": "941-284-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SDS MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-26",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "SIGAL",
        "authorized_official_first_name": "FANE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "REHAB DIRECTOR",
        "authorized_official_telephone_number": "941-378-5100",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.