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MR. SERGIO E VALDIVIA PT
NPI 1225030166
Physical Therapist in Lake Suzy, FL

Active since August 11, 2005Accepts Medicare Assignment
12355 SW COUNTY ROAD 769, SUITE B, LAKE SUZY, FL 34269(941) 468-1660(941) 484-6024 Get Directions Write a Review

NPPES record last updated: June 23, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Sergio E Valdivia Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SERGIO E VALDIVIA PT (NPI 1225030166) is an individual physical therapist in Lake Suzy, Florida, licensed in Florida (PT10727) and active in the NPI registry since August 2005. He is a graduate of Other (1982).

NPPES Registry Identity

NPI1225030166
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. SERGIO E VALDIVIACredential: PT
Location Address12355 SW COUNTY ROAD 769, SUITE BLake Suzy, FL 34269-5923
Mailing AddressPo Box 1551Venice, FL 34284-1551 · (941) 468-1660 · Fax (941) 484-6024
Phone(941) 468-1660
Fax(941) 484-6024
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateAugust 11, 2005
Last NPPES UpdateJune 23, 2008
✔ NPI 1225030166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in FL · PT10727
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
12355 SW COUNTY ROAD 769, Lake Suzy, FL 34269
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Other Identifiers 7

OtherY053NFL · Bcbs
Medicare ID-Type UnspecifiedE4858FL · Old Provider #
Medicare ID-Type UnspecifiedE4858ZFL · New Provider #
Other001872584Highmark Bcbs
Medicare ID-Type UnspecifiedK7347FL · Group Number
Medicare ID-Type UnspecifiedDE3452FL · Rr Medicare Group #
Medicare ID-Type UnspecifiedP00286873FL · Rr Medicare Individual #

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Sergio E Valdivia Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557308574
PECOS Enrollment IDI20050413000201

Medicare Billing Reassignment

Medicare enrollment records show Sergio Valdivia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Physical Therapy Specialists Port Charlotte Inc.
1.4 mi
Physical Therapist
24430 SANDHILL BLVD UNIT 301
Punta Gorda, FL 33983
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1548262488 (941) 625-2907

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
3,174 services60 patients
Therapy procedure for walking training, each 15 minutes 97116
Walking training therapy is a process to improve your ability to walk. It's a 15-minute session where you'll practice walking with the help of devices or exercises. It aims to enhance balance, strength, coordination, and endurance.
1,007 services56 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
80 services14 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
44 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34269 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%79 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sergio Valdivia's NPI number?

The NPI number for Sergio Valdivia is 1225030166. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Sergio Valdivia located?

Sergio Valdivia practices at 12355 SW County Road 769 Suite B, Lake Suzy, FL 34269. The listed phone number is (941) 468-1660.

What is Sergio Valdivia's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Sergio Valdivia enrolled in Medicare?

Yes. Sergio Valdivia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Sergio Valdivia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sergio Valdivia reassigns Medicare benefits to Florida Physical Therapy Specialists Port Charlotte Inc. (Punta Gorda, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sergio Valdivia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sergio Valdivia was last updated on June 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.