Individual provider Active NPI

Driele Nogueira Sanches, P.T.

  • Physical Therapist
  • Orlando, FL
National Provider Identifier
1639616766
Registry record updated Jun 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40210 Issued in FL
Practice address
14055 Town Loop Blvd Ste 300
Orlando, FL 32837-6106
Phone
(407) 857-6285
Fax
(407) 857-9566
NPI assigned
Jan 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT292168 CA
Physical Therapist 225100000X PT40210 FL Primary

Addresses

Primary practice location

14055 Town Loop Blvd Ste 300
Orlando, FL 32837-6106

Mailing address

9603 Reymont St
Orlando, FL 32827-3833
Phone (408) 477-6645

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
PT292168CAMDPhysical Therapist
PT40210FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687046400000",
    "number": "1639616766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9603 REYMONT ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328273833",
            "telephone_number": "408-477-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14055 TOWN LOOP BLVD STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376106",
            "telephone_number": "407-857-6285",
            "fax_number": "407-857-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOGUEIRA SANCHES",
        "first_name": "DRIELE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-27",
        "last_updated": "2023-06-18",
        "certification_date": "2023-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT292168",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT40210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2023; 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.