Individual provider Active NPI

Paula Andrea Sedas, PT

  • Physical Therapist
  • Fort Myers, FL
National Provider Identifier
1871735225
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
20799 Issued in FL
Practice address
7460 Lake Breeze Dr
Fort Myers, FL 33907-8090
Phone
(239) 481-6615
Fax
(239) 481-6654
NPI assigned
Apr 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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 20799 FL Primary

Addresses

Primary practice location

7460 Lake Breeze Dr
Fort Myers, FL 33907-8090

Mailing address

14374 Reflection Lakes Dr
Fort Myers, FL 33907-1805
Phone (239) 410-1024

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
20799FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238544000000",
    "number": "1871735225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14374 REFLECTION LAKES DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071805",
            "telephone_number": "239-410-1024",
            "fax_number": "239-481-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7460 LAKE BREEZE DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339078090",
            "telephone_number": "239-481-6615",
            "fax_number": "239-481-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDAS",
        "first_name": "PAULA",
        "middle_name": "ANDREA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "20799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.