Organization Active NPI

Integumentary Physiotherapy Institute, LLC

  • Physical Therapy Clinic/Center
  • Longwood, FL
National Provider Identifier
1598307993
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
INTEGUMENTARY PHYSIOTHERAPY INSTITUTE, LLC
Practice address
587 E State Road 434 Unit 1021
Longwood, FL 32750-5284
Phone
(321) 972-3238
Fax
(321) 972-3590
NPI assigned
Oct 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Authorized official

Name
Dr. Nilma Zuleika Elias Santiago, PT, DPTNPI 1700038486
Title
Owner/Physical Therapist
Phone
(321) 972-3238

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Electrophysiology Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251E1300X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

587 E State Road 434 Unit 1021
Longwood, FL 32750-5284

Mailing address

587 E State Road 434 Unit 1021
Longwood, FL 32750-5284
Phone (321) 972-3238

Other names 1

  • Integumentary Physiotherapy Clinic, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191204000526 FL Part B Supplier - Clinic/Group Practice 0648603761 Receives reassigned benefits from 1 practitioner
Practice locations: Longwood, FL

National Provider Directory

National Provider Directory

Locations

616 E Altamonte Dr
Ste 203
Altamonte Springs, FL 32701
Phone (407) 265-1109

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699574400000",
    "number": "1598307993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "587 E STATE ROAD 434 UNIT 1021",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505284",
            "telephone_number": "321-972-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "587 E STATE ROAD 434 UNIT 1021",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505284",
            "telephone_number": "321-972-3238",
            "fax_number": "321-972-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGUMENTARY PHYSIOTHERAPY INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A",
        "authorized_official_last_name": "ELIAS SANTIAGO",
        "authorized_official_first_name": "NILMA",
        "authorized_official_middle_name": "ZULEIKA",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "321-972-3238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251E1300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Electrophysiology, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integumentary Physiotherapy Clinic, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Integumentary Physiotherapy Clinic, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.