Jose Antonio Santiago Sr., MS, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4581 Issued in FL

Practice address

1720 W. Dr. Martin Luther King Jr. Blvd.
Tampa, FL 33607

Phone

(813) 876-7400

Fax

(813) 877-8145

NPI assigned

Mar 21, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1669643219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 W. DR. MARTIN LUTHER KING JR. BLVD.",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607",
            "telephone_number": "813-876-7400",
            "fax_number": "813-877-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 W. DR. MARTIN LUTHER KING JR. BLVD.",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607",
            "telephone_number": "813-876-7400",
            "fax_number": "813-877-8145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MS, RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-21",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT4581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010880000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Santiago Jr., L.M.T.
• Diane Santiago, BS
• Fawn-Marie Santiago, PMHNP-BC
• Ginabell Santiago, BA
• Jorge Alexander Santiago, PHARMD
• Jose Luis Santiago Jr., MASSAGE THERAPIST
• Karen Ann Santiago, APRN
• Lynne Angela Santiago, LMHC
• Meagan Santiago, LCSW
• Nicole Jelitza Santiago, RD,LND,MS

• Physical Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.