Active NPI
Ulysses E Padillo, PT
- Physical Therapist
- Tallahassee, FL
National Provider Identifier
1699929885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 24408
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 24408 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R&R Physical Therapy Inc. | Physical Therapist | Past | 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.
-
- Physical Therapist
- Tallahassee, FL
- NPI 1306843164
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.