Paul L Sganga

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

27829 Issued in FL

Practice address

1902 59TH St W
Bradenton, FL 34209-4602

Phone

(941) 761-1000

NPI assigned

Feb 5, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1831654615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3813 GULF BLVD APT 213",
            "city": "ST PETE BEACH",
            "state": "FL",
            "postal_code": "337063922",
            "telephone_number": "203-885-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094602",
            "telephone_number": "941-761-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SGANGA",
        "first_name": "PAUL",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "27829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27829",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Service Industry Solutions Inc.
• Krista D Settle, DPT MPT
• Barry Lee Severs, M.D.
• Xavier Diego Sevilla, M.D.
• Wayne Seward Jr., PA-C
• Jessica Shacklett, APRN
• Gail Shafran, FNP
• M. Mohsin Shah, M.D.
• Neel Shah
• Nishan Anilkumar Shah, MD

• Physical Therapy Assistant in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2019; 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.