Individual provider Active NPI

Marimar Rios Santiago, DPT

  • Neurology Physical Therapist
  • Orange City, FL
National Provider Identifier
1447920087
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
PT37604 Issued in FL
Practice address
1053 Medical Center Dr Ste 151
Orange City, FL 32763-8261
Phone
(386) 917-5160
NPI assigned
Sep 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X PT37604 FL Primary

Addresses

Primary practice location

1053 Medical Center Dr Ste 151
Orange City, FL 32763-8261

Mailing address

955 N Orlando Ave Apt 417
Maitland, FL 32751-4609
Phone (407) 913-0185

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

LicenseStateTypeSpecialty
PT37604FLMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Volusia Healthcare Corporation PastSince Sep 23, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1447920087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 N ORLANDO AVE APT 417",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514609",
            "telephone_number": "407-913-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 MEDICAL CENTER DR STE 151",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638261",
            "telephone_number": "386-917-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS SANTIAGO",
        "first_name": "MARIMAR",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "FL",
            "license": "PT37604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.