Active NPI
Mary Santello, LMT
- Mechanotherapist
- Gainesville, FL
National Provider Identifier
1477979441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- MA12862
- Practice address
- 115 NE 6TH Terrace, Suite 205
Gainesville, FL 32601 - Phone
- (352) 378-3098
- NPI assigned
- Mar 13, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | MA12862 | FL | Primary |
Addresses
Primary practice location
115 NE 6TH Terrace, Suite 205
Gainesville, FL 32601
Mailing address
115 NE 6TH Terrace, Suite 205
Gainesville, FL 32601
Phone (352) 378-3098
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C6137 | Other | FL | BCBS OF FLORIDA |
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 |
|---|---|---|---|
| MA12862 | FL | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394668800000",
"number": "1477979441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 NE 6TH TERRACE, SUITE 205",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32601",
"telephone_number": "352-378-3098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 NE 6TH TERRACE, SUITE 205",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32601",
"telephone_number": "352-378-3098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTELLO",
"first_name": "MARY",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-13",
"last_updated": "2014-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "FL",
"license": "MA12862",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FLORIDA",
"identifier": "C6137",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.