Active NPI
Michael James Santos, PT
- Physical Therapist
- Winnfield, LA
National Provider Identifier
1780262212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05036F
- Practice address
- 204 W Main St
Winnfield, LA 71483-2717 - Phone
- (318) 727-9377
- Fax
- (318) 727-8915
- NPI assigned
- Mar 29, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 | 05036F | LA | Primary |
Addresses
Primary practice location
204 W Main St
Winnfield, LA 71483-2717
Mailing address
334 Collins Rd
Winnfield, LA 71483-5130
Phone (318) 727-9377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Care Southeast LLC | Physical Therapist | Current | Accepting new patients |
| Synergy Care Southeast, LLC | Single Specialty | Current | Accepting new patients |
| SCF Medical Services LLC | Current | Accepting new patients |
Organizations & group practices 3
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.
-
dba Synergy Care Southeast LLC - Louisiana
- Physical Therapist
- Lake Charles, LA
- NPI 1891156055
-
- Point of Service
- Winnfield, LA
- NPI 1326613837
-
dba Synergy Care Southeast LLC - Texas
- Physical Therapist
- Lake Charles, LA
- NPI 1427466614
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1780262212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "334 COLLINS RD",
"city": "WINNFIELD",
"state": "LA",
"postal_code": "714835130",
"telephone_number": "318-727-9377",
"fax_number": "318-727-8915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 W MAIN ST",
"city": "WINNFIELD",
"state": "LA",
"postal_code": "714832717",
"telephone_number": "318-727-9377",
"fax_number": "318-727-8915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTOS",
"first_name": "MICHAEL",
"middle_name": "JAMES",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-29",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "LA",
"license": "05036F",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winnfield, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.