Active NPI
Wayne Santora
- Physical Therapy Assistant
- Lakewood Ranch, FL
National Provider Identifier
1437639697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA26757
- Practice address
- 9085 Town Center Pkwy
Lakewood Ranch, FL 34202-4240 - Phone
- (941) 822-8424
- Fax
- (941) 822-8048
- NPI assigned
- Aug 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA26757 | FL | Primary |
Addresses
Primary practice location
9085 Town Center Pkwy
Lakewood Ranch, FL 34202-4240
Mailing address
9085 Town Center Pkwy
Lakewood Ranch, FL 34202-4240
Phone (941) 822-8424
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA26757 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534464000000",
"number": "1437639697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9085 TOWN CENTER PKWY",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342024240",
"telephone_number": "941-822-8424",
"fax_number": "941-822-8048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9085 TOWN CENTER PKWY",
"city": "LAKEWOOD RANCH",
"state": "FL",
"postal_code": "342024240",
"telephone_number": "941-822-8424",
"fax_number": "941-822-8048"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTORA",
"first_name": "WAYNE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-17",
"last_updated": "2018-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "PTA26757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood Ranch, FL
- Christine M Rykiel, LCSW
- Sage Dental of Lakewood Ranch at Natures Way PLLC
- Sage Dental of Lakewood Ranch PLLC
- Olivia Rose Sanders
- Pooja Sandesara, D.M.D.
- Isabella Angela Santoro
- Sarasota County Public Hospital District
- Sarasota County Public Hospital District
- Sarasota County Public Hospital District
- Sarasota County Public Hospital District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.