Individual provider Active NPI

Ulysses Singleton, DPT

  • Physical Therapist
  • Davenport, FL
National Provider Identifier
1467673863
Registry record updated Mar 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 21146 Issued in FL
Practice address
109 Lake Davenport Blvd
Davenport, FL 33897-9405
Phone
(863) 256-5030
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2016

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 PT 21146 FL Primary

Addresses

Primary practice location

109 Lake Davenport Blvd
Davenport, FL 33897-9405

Mailing address

109 Lake Davenport Blvd
Davenport, FL 33897-9405
Phone (863) 256-5030

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
PT 21146FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dundee Podiatry and Therapy Services PA CurrentSince May 5, 2018 Accepting new patients
Four Corners Chiropractic Centers PA PastSince Mar 16, 2016 Accepting new patients

Locations

106 Center St
Dundee, FL 33838
Phone (610) 554-6245

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 2

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1467673863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 LAKE DAVENPORT BLVD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338979405",
            "telephone_number": "863-256-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 LAKE DAVENPORT BLVD",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338979405",
            "telephone_number": "863-256-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGLETON",
        "first_name": "ULYSSES",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 21146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.