Individual provider Active NPI

Todd Michael Santore, DPT

  • Physical Therapist
  • Fort Myers, FL
National Provider Identifier
1538310693
Registry record updated Jan 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24322 Issued in FL
Practice address
13670 Metropolis Ave
Suite 103
Fort Myers, FL 33912-4346
Phone
(239) 561-0700
Fax
(239) 561-0103
NPI assigned
Oct 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 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 PT24322 FL Primary

Addresses

Primary practice location

13670 Metropolis Ave
Suite 103
Fort Myers, FL 33912-4346

Mailing address

2328 Hancock Bridge Pkwy
Suite 103
Cape Coral, FL 33990-1459
Phone (239) 573-1518

Other identifiers 1

IdentifierTypeStateIssuer
68-6520OtherFLMEDICARE GROUP

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
PT24322FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Specialty & Rehabilitation Center Inc Physical Therapist Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients
Sports Specialty & Rehabilitation Center Inc Physical Therapist Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453075200000",
    "number": "1538310693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 HANCOCK BRIDGE PKWY",
            "address_2": "SUITE 103",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339901459",
            "telephone_number": "239-573-1518",
            "fax_number": "239-573-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13670 METROPOLIS AVE",
            "address_2": "SUITE 103",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124346",
            "telephone_number": "239-561-0700",
            "fax_number": "239-561-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTORE",
        "first_name": "TODD",
        "middle_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-08",
        "last_updated": "2016-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "68-6520",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.