Sergio Valdivia, PT
NPI 1225030166 · Physical Therapist · Lake Suzy, FL
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sergio Valdivia, PT is a Physical Therapist provider in Lake Suzy, FL (NPI 1225030166).
Provider details
- NPI number
- 1225030166
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- PT10727 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
4,305 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Therapy Procedure to Re-Educate Brain-To-Nerve-To-Muscle Function, Each 15 Minutes97112 | 3,174 | $27 |
| Therapy Procedure for Walking Training, Each 15 Minutes97116 | 1,007 | $22 |
| Therapy Procedure Using Exercise to Develop Strength, Endurance, Range of Motion, and Flexibility, Each 15 Minutes97110 | 80 | $22 |
| Evaluation for Physical Therapy, Typically 20 Minutes97161 | 44 | $96 |
Typical Medicare-allowed amounts for these services range $22–$96 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-08-11
- Last updated
- 2008-06-23
Frequently asked questions
- What is Sergio Valdivia's NPI number?
- Sergio Valdivia's National Provider Identifier (NPI) is 1225030166, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sergio Valdivia's specialty?
- Sergio Valdivia is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Sergio Valdivia located?
- Sergio Valdivia's practice location on file with NPPES is 12355 Sw County Road 769, Lake Suzy, FL 34269-5923.
- What is Sergio Valdivia's phone number?
- The practice phone number listed in the NPPES registry for Sergio Valdivia is (941) 468-1660.
- Does Sergio Valdivia accept Medicare?
- Sergio Valdivia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sergio Valdivia's NPI active?
- Yes — Sergio Valdivia's NPI (1225030166) is active in the NPPES registry as of the last update on 2008-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.