Provider Demographics
NPI:1760431688
Name:SANTANGELO, FRANCIS ALFRED JR (PT)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:ALFRED
Last Name:SANTANGELO
Suffix:JR
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:564 BELLE STATION BLVD
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-8225
Mailing Address - Country:US
Mailing Address - Phone:843-881-6556
Mailing Address - Fax:843-881-6558
Practice Address - Street 1:564 BELLE STATION BLVD
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-8225
Practice Address - Country:US
Practice Address - Phone:843-881-6556
Practice Address - Fax:843-881-6558
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8142251S0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
Provider Identifiers
StateIdentifier IDID TypeIssuer
260142136OtherFED TAX IN NUMBER
260142136OtherFED TAX IN NUMBER
SCQ23407Medicare UPIN