MR. MIGUEL TRAIFALGAR DECASTRO JR. (NPI# 1578706057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578706057 |
Entity Type | Individual |
Full Name | MR. MIGUEL TRAIFALGAR DECASTRO JR. |
Credential | PT |
Practice Address |
4730 Bee Ridge Rd Sarasota FL 34233-1442 |
Mailing Address |
6722 71st St E Bradenton FL 34203-7173 |
Practice Telephone | 9413771286 |
Mailing Telephone | 9417581283 |
Enumeration Date | 2009-04-13 |
Last Update Date | 2009-04-13 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
PT-20585 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
4730 BEE RIDGE RD |
City | SARASOTA |
State | FL |
Zip Code | 34233-1442 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962611020 | Emeritus C Orporation | Assisted Living Facility | 4730 Bee Ridge Rd, Sarasota, FL 34233-1442 | 2007-05-22 |
1063078939 | Emeritol Colonial Park Club LLC | Assisted Living Facility | 4730 Bee Ridge Rd, Sarasota, FL 34233-1442 | 2019-05-15 |
1952544553 | Agnita Louise Samuels | Physical Therapy Assistant | 4730 Bee Ridge Rd, Sarasota, FL 34233-1442 | 2009-04-13 |
1508009184 | Kathleen Marie Frank | Occupational Therapist | 4730 Bee Ridge Rd, Sarasota, FL 34233-1442 | 2009-04-13 |
1912144874 | Cristina Ingratta Schultz | Occupational Therapy Assistant | 4730 Bee Ridge Rd, Sarasota, FL 34233-1442 | 2009-01-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982220307 | Thornley Health, LLC | Psychiatry & Neurology | 4014 Sawyer Rd, Sarasota, FL 34233 | 2020-06-22 |
1376088757 | Cayley Miles | Behavioral Analyst | 5224 Station Way, Sarasota, FL 34233 | 2016-12-21 |
1386014660 | Sarah Ashley Somai | Pharmacist | 5804 Centergate Village, Sarasota, FL 34233 | 2015-09-30 |
1760864458 | Kristin Elizabeth Kemper | Chiropractor | 5560 Bee Ridge Rd Ste D7, Sarasota, FL 34233 | 2015-06-18 |
1225424369 | Florence Arnold | Internal Medicine | 3830 Bee Ridge Rd Ste 301, Sarasota, FL 34233 | 2015-04-15 |
1396179891 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 5432 Bee Ridge Rd Ste 170, Sarasota, FL 34233 | 2013-09-03 |
1093064180 | Robert Bateyko, Md Chartered | Internal Medicine | 5664 Bee Ridge Road, Suite #101, Sarasota, FL 34233 | 2012-09-05 |
1871855874 | Katharina Bayer-haase | Counselor | 4047 Bee Ridge Rd, Suite C, Sarasota, FL 34233 | 2012-06-14 |
1053686881 | Leigh Goodman | Occupational Therapist | 4073 Bee Ridge Rd., Sarasota, FL 34233 | 2012-03-13 |
1407155740 | Jay Steven Frye | Physical Therapist | 5432 Bee Ridge Rd Ste 110, Sarasota, FL 34233 | 2011-03-25 |
Find all providers in zip 34233 |
Taxonomy Code | 2251G0304X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Geriatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144465550 | Jennifer M Webster | Physical Therapist | 5459 Bentgrass Dr Unit 111, Sarasota, FL 34235-2675 | 2008-12-14 |
1952775470 | Ma Teresa Rosales | Physical Therapist | 743 S Beneva Rd, Sarasota, FL 34232-2411 | 2015-11-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679107544 | Erin F Black | Physical Therapist | 2300 Bluff Oak Way Apt 5104, Tallahassee, FL 32311-6129 | 2020-02-28 |
1942851225 | Sara Walker | Physical Therapist | 213 S Dillard Street, Suite 320c, Winter Garden, FL 34787 | 2019-09-26 |
1235697574 | Promobility Care Physical Therapy LLC | Physical Therapist | 11204 58th Street Cir E, Parrish, FL 34219-4513 | 2019-03-05 |
1255821542 | Lacey Smith | Physical Therapist | 5429 Highlands Vista Cir, Lakeland, FL 33812-5216 | 2018-05-13 |
1770005720 | Leading Edge Rehabilitation LLC | Physical Therapist | 19348 Wind Dancer St, Lutz, FL 33558-9054 | 2017-07-12 |
1558896522 | Emily Routh | Physical Therapist | 6220 Willow Beck Ln Apt 203, Bradenton, FL 34202-5195 | 2017-04-26 |
1609312545 | Pamala Galloway Feehan | Physical Therapist | 7500 Monarch Ln, Fort Myers, FL 33912-2371 | 2017-01-17 |
1588106215 | Vincenzo Bombara | Physical Therapist | 6000 Nw 61st St, Parkland, FL 33067-4411 | 2016-11-11 |
1437519196 | Daniel Collins | Physical Therapist | 1616 Raincrow Dr, Saint Johns, FL 32259-9080 | 2016-02-24 |
1578928420 | Country Club Pt Pa | Physical Therapist | 1331 Whispering Ln, Venice, FL 34285-6449 | 2015-12-19 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.