Individual provider Active NPI

William Joseph Shuttleworth, MSPT

  • Physical Therapist
  • Sarasota, FL
National Provider Identifier
1700988110
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT26778 Issued in FL
Practice address
8588 Potter Park Dr Ste 201
Sarasota, FL 34238-5471
Phone
(941) 361-9020
Fax
(941) 217-4038
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT016373 PA
Physical Therapist 225100000X PT26778 FL Primary

Addresses

Primary practice location

8588 Potter Park Dr Ste 201
Sarasota, FL 34238-5471

Mailing address

710 N Lemon Ave Unit 304
Sarasota, FL 34236-4289
Phone (419) 923-9999

Other names 1

  • William Joseph Santamaria Former name

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
PT26778FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fq0015, LLC Physical Therapist CurrentSince Feb 26, 2024 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Mar 12, 2023 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Mar 12, 2023 Accepting new patients
Fitness Quest - Palmer Ranch, LLC Physical Therapist CurrentSince Feb 26, 2024 Accepting new patients
Fitness Quest Inc CurrentSince Feb 26, 2024 Accepting new patients
Suncoast Physical Therapy, LLC Physical Therapist CurrentSince Aug 1, 2024 Accepting new patients
Lawrence County Physical Therapy Institute Physical Therapist PastSince Jan 1, 2001 Accepting new patients
Air Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

3657 Cortez Rd W
Ste 110
Bradenton, FL 34210
Phone (941) 361-9020

9025 Town Center Pkwy
Lakewood Ranch, FL 34202
Phone (941) 209-3922

11045 Tamiami Trl S
North Port, FL 34287
Phone (877) 469-3778

1705 S Osprey Ave
Sarasota, FL 34239
Phone (941) 957-3279

8588 Potter Park Dr
Ste 201
Sarasota, FL 34238
Phone (941) 361-9020

1420 E Venice Ave
Venice, FL 34292
Phone (866) 226-9567

Organizations & group practices 8

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1700988110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N LEMON AVE UNIT 304",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342364289",
            "telephone_number": "419-923-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8588 POTTER PARK DR STE 201",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342385471",
            "telephone_number": "941-361-9020",
            "fax_number": "941-217-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUTTLEWORTH",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT016373",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT26778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "SANTAMARIA",
            "middle_name": "JOSEPH",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.