Active NPI
Driele Nogueira Sanches, P.T.
- Physical Therapist
- Orlando, FL
National Provider Identifier
1639616766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT40210
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT292168 | CA | MD | Physical Therapist |
| PT40210 | FL | MD | Physical 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.