Individual provider Active NPI

Andrew Segotier, P.T.

  • Physical Therapist
  • Tampa, FL
National Provider Identifier
1487934717
Registry record updated Aug 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0007464 Issued in FL
Practice address
4313 W North a St Apt 2
Tampa, FL 33609-2135
Phone
(813) 766-9135
NPI assigned
Aug 17, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2011

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 0007464 FL Primary

Addresses

Primary practice location

4313 W North a St Apt 2
Tampa, FL 33609-2135

Mailing address

4313 W North a St Apt 2
Tampa, FL 33609-2135
Phone (813) 766-9135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130502000337 FL Practitioner - Physical Therapist in Private Practice 2365698461 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0007464FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Prorehab Management LLC Physical Therapist CurrentSince Apr 23, 2019 Accepting new patients

Locations

38225 14th Ave
Zephyrhills, FL 33542
Phone (813) 355-4809

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": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313539200000",
    "number": "1487934717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4313 W NORTH A ST APT 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092135",
            "telephone_number": "813-766-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4313 W NORTH A ST APT 2",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092135",
            "telephone_number": "813-766-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGOTIER",
        "first_name": "ANDREW",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "0007464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; 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.