Wendy A De Santo, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT33024 Issued in FL

Practice address

1348 S 18TH St Ste 320a
Fernandina Beach, FL 32034-4785

Phone

(904) 557-9021

Fax

(904) 557-9022

NPI assigned

Mar 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jacksonville Orthopaedic Institute Inc

  • Physical Therapist
  • Fernandina Beach, FL
  • NPI 1942660212
  NPD (past)

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521158400000",
    "number": "1861523227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 SAN MARCO BLVD STE 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078566",
            "telephone_number": "904-346-3465",
            "fax_number": "904-858-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 S 18TH ST STE 320A",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344785",
            "telephone_number": "904-557-9021",
            "fax_number": "904-557-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SANTO",
        "first_name": "WENDY",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2018-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2005013025",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Cuason, LCSW
• David Joel Cummings, PT, DPT
• Sally Ann Cummings
• Kathleen Cwikla, OD
• David Daugherty, RMFTI
• Shanin Leah Degraw, PTA
• Summer Suzanne Delille, R.D.H.
• Cletus Leon Deller, LMHC INTERN
• Margeaux Jenee Dennis, DO
• Stephanie Desilet, MS, CCC-SLP

• Physical Therapist in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; 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.