Individual provider Active NPI

Ian Joeh Gonzalez Santiago, DPT

  • Orthopedic Physical Therapist
  • Winter Park, FL
National Provider Identifier
1972469328
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT44097 Issued in FL
Practice address
1341 Orange Ave
Winter Park, FL 32789-4909
Phone
(407) 514-3657
Fax
(407) 381-1971
NPI assigned
Dec 30, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT44097 FL Primary
Physical Therapist 225100000X PT44097 FL

Addresses

Primary practice location

1341 Orange Ave
Winter Park, FL 32789-4909

Mailing address

1341 Orange Ave
Winter Park, FL 32789-4909
Phone (407) 514-3657

Other practice location 1

14882 Hawksmoor Run Cir
Orlando, FL 32828-7526
Phone (787) 552-8782

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260204003349 FL Practitioner - Physical Therapist in Private Practice 2668951229 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1341 Orange Ave
Winter Park, FL 32789-4909
Phone (407) 206-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT44097FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Feb 1, 2026 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Feb 1, 2026 Accepting new patients

Locations

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1341 Orange Ave
Winter Park, FL 32789
Phone (407) 691-7687

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1767052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1972469328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 ORANGE AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894909",
            "telephone_number": "407-514-3657",
            "fax_number": "407-381-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 ORANGE AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894909",
            "telephone_number": "407-514-3657",
            "fax_number": "407-381-1971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14882 Hawksmoor Run Cir",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328287526",
            "country_code": "US",
            "telephone_number": "787-552-8782",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ SANTIAGO",
        "first_name": "IAN",
        "middle_name": "JOEH",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-30",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT44097",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT44097",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.