Marco Antonio De Franchi Siqueira, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2217 Issued in FL

Practice address

17100 Collins Ave
Suite 211
Sunny Isles Beach, FL 33160-3675

Phone

(305) 947-7788

Fax

(305) 947-5458

NPI assigned

Feb 12, 2007

Last updated

Oct 6, 2011By the provider in NPPES

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

Other names 1

• Marco Antonio De Franchi Siquiera Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1699817288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 COLLINS AVE",
            "address_2": "SUITE 211",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603675",
            "telephone_number": "305-947-7788",
            "fax_number": "305-947-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 COLLINS AVE",
            "address_2": "SUITE 211",
            "city": "SUNNY ISLES BEACH",
            "state": "FL",
            "postal_code": "331603675",
            "telephone_number": "305-947-7788",
            "fax_number": "305-947-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIQUEIRA",
        "first_name": "MARCO ANTONIO",
        "middle_name": "DE FRANCHI",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT2217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891059600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCO ANTONIO",
            "last_name": "SIQUIERA",
            "middle_name": "DE FRANCHI",
            "credential": "PHYSICAL THERAPIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Physical Therapist in Sunny Isles Beach, FL
• Providers in Sunny Isles Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.