Individual provider Active NPI

Ulysses E Padillo, PT

  • Physical Therapist
  • Tallahassee, FL
National Provider Identifier
1699929885
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 24408 Issued in FL
Practice address
1818 Miccosukee Commons Dr
Ste 3
Tallahassee, FL 32308-6400
Phone
(850) 656-3163
Fax
(850) 656-3463
NPI assigned
Nov 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 24408 FL Primary

Addresses

Primary practice location

1818 Miccosukee Commons Dr
Ste 3
Tallahassee, FL 32308-6400

Mailing address

1818 Miccosukee Commons Dr
Ste 3
Tallahassee, FL 32308-6400
Phone (850) 656-3163

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
PT 24408FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
R&R Physical Therapy Inc. Physical Therapist PastSince Dec 13, 2016 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226620800000",
    "number": "1699929885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 MICCOSUKEE COMMONS DR",
            "address_2": "STE 3",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323086400",
            "telephone_number": "850-656-3163",
            "fax_number": "850-656-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 MICCOSUKEE COMMONS DR",
            "address_2": "STE 3",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323086400",
            "telephone_number": "850-656-3163",
            "fax_number": "850-656-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLO",
        "first_name": "ULYSSES",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-14",
        "last_updated": "2008-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 24408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; 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.