Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Allan Francis Supremo Santoalla

Individual provider Physical Therapist · NPI 1629347562

Mr. Allan Francis Supremo Santoalla is a Physical Therapist in Private Practice in Sunrise, Florida. Qualified in 2016, 10 years ago. Practices with Sportsmed PT LLC, a 214-clinician group and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2011
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Practice location Address checks out

1580 Sawgrass Corporate Pkwy Ste 100
Sunrise, FL 33323-2860
Phone: (954) 684-7054
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1629347562
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 21, 2011
Last updated in NPPESDecember 21, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Sportsmed Pt Llc — 214 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Sunrise