Active NPI
Daniel A Cerdeira, DPT
- Physical Therapist
- Cape Coral, FL
National Provider Identifier
1801628201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT41785
- Practice address
- 1402 SE 16TH PL
Cape Coral, FL 33990-3819 - Phone
- (239) 772-2363
- NPI assigned
- Aug 15, 2024
- 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 | PT41785 | FL | Primary |
Addresses
Primary practice location
1402 SE 16TH PL
Cape Coral, FL 33990-3819
Mailing address
PO Box 932184
Atlanta, GA 31193-2184
Phone (856) 678-3484
Other practice location 1
6314 Whiskey Creek Dr Ste D
Fort Myers, FL 33919-8762
Phone (239) 432-0556
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT41785 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physical Therapy & Rehab of Cape Coral, LLC | Physical Therapist | Current | Accepting new patients |
Locations
1402 SE 16th Pl
Cape Coral, FL 33990
Phone (239) 772-2363
6314 Whiskey Creek Dr
Ste D
Fort Myers, FL 33919
Phone (239) 432-0556
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 Therapy Clinic/Center
- Cape Coral, FL
- NPI 1891990206
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1801628201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932184",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311932184",
"telephone_number": "856-678-3484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 SE 16TH PL",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339903819",
"telephone_number": "239-772-2363"
}
],
"practiceLocations": [
{
"address_1": "6314 Whiskey Creek Dr Ste D",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339198762",
"country_code": "US",
"telephone_number": "239-432-0556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CERDEIRA",
"first_name": "DANIEL",
"middle_name": "A",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-15",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT41785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.