Active NPI
Nancy Squitieri, PT
- Physical Therapist
- Ruskin, FL
National Provider Identifier
1740727437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT3930
- Practice address
- 827 Cypress Village Blvd
Ruskin, FL 33573-6838 - Phone
- (813) 633-0669
- Fax
- (813) 633-0881
- NPI assigned
- Jan 19, 2017
- Sex
- Female
- 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 | PT3930 | FL | Primary |
Addresses
Primary practice location
827 Cypress Village Blvd
Ruskin, FL 33573-6838
Mailing address
827 Cypress Village Blvd
Ruskin, FL 33573-6838
Phone (813) 633-0669
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 |
|---|---|---|---|
| PT3930 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Vitality Medical of Sun City | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484784000000",
"number": "1740727437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "827 CYPRESS VILLAGE BLVD",
"city": "RUSKIN",
"state": "FL",
"postal_code": "335736838",
"telephone_number": "813-633-0669",
"fax_number": "813-633-0881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 CYPRESS VILLAGE BLVD",
"city": "RUSKIN",
"state": "FL",
"postal_code": "335736838",
"telephone_number": "813-633-0669",
"fax_number": "813-633-0881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SQUITIERI",
"first_name": "NANCY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-19",
"last_updated": "2017-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT3930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ruskin, FL
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- Lindsay Lastinger Sterry, DPT
- Monique Stevens
- Sun City Center Ambulatory Surgery Center, LLC
- Sun City Center Health and Wellness LLC
- Sun City Center Integrative Medicine LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.