Individual provider Active NPI

Sandra Di Fausto

  • Physical Therapist
  • Miami Beach, FL
National Provider Identifier
1841065042
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40872 Issued in FL
Practice address
309 71St St
Miami Beach, FL 33141-3013
Phone
(305) 867-3925
Fax
(305) 867-3927
NPI assigned
Nov 17, 2023
Last updated
Nov 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT40872 FL Primary

Addresses

Primary practice location

309 71St St
Miami Beach, FL 33141-3013

Mailing address

309 71St St
Miami Beach, FL 33141-3013
Phone (305) 867-3925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240328001665 FL Practitioner - Physical Therapist in Private Practice 2860839610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
N.B.P.T., Inc.Group PAC ID 5890771307, 2 clinicians

Practice addresses (Care Compare)

309 71St St
Miami Beach, FL 33141-3013
Phone (305) 867-3925

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT40872FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
N.B.P.T., Inc. Physical Therapist CurrentSince Feb 6, 2024 Accepting new patients
Physio Vitae LLC Physical Therapist CurrentSince Nov 12, 2023 Accepting new patients

Locations

309 71st St
Miami Beach, FL 33141
Phone (305) 867-3925

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1841065042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 71ST ST",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331413013",
            "telephone_number": "305-867-3925",
            "fax_number": "305-867-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 71ST ST",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331413013",
            "telephone_number": "305-867-3925",
            "fax_number": "305-867-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI FAUSTO",
        "first_name": "SANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT40872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.