ANGELA SCAMARDELLA – Physical Therapist, NPI 1407647563

ANGELA SCAMARDELLA is a healthcare provider. based in Lutz, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT43126 (FL). The NPI Number for ANGELA SCAMARDELLA is 1407647563

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
ANGELA SCAMARDELLA
NPI
1407647563
Phone
Not provided
Address
21756 STATE ROAD 54 STE 102
Enumeration Date
16 May 2025
Last Update Date
16 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7272024625
Graduation Year
2025 (1 year ago)
PAC ID
2466965017
Group Practice PAC ID
1557699212
Professional Enrollment ID
I20250627001943
Address ID
FL337042744ST2600XNXXX601
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for ANGELA SCAMARDELLA

  • 21756 STATE ROAD 54 STE 102

    LUTZ, FL 335492905

    Phone:

    Type: Mailing

  • 2600 DR MARTIN LUTHER KING JR ST N STE 200B

    ST PETERSBURG, FL 337042744

    Phone: (727) 202-4625

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250627001943IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33549)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557699212View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
-FL
Physical Therapist In Private PracticeFL
-FL
Physical Therapist In Private PracticeFL
-FL
Physical Therapist In Private PracticeFL
-FL

Reviews

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Frequently asked questions

What is ANGELA SCAMARDELLA's NPI number?
ANGELA SCAMARDELLA's NPI is 1407647563 — the number used across U.S. healthcare to identify this provider.
Is ANGELA SCAMARDELLA still an active registrant?
ANGELA SCAMARDELLA carries an active NPI according to the public dataset.
How would a patient describe ANGELA SCAMARDELLA's focus?
For ANGELA SCAMARDELLA, the primary taxonomy reads as Physical Therapist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for ANGELA SCAMARDELLA?
Travel planning: use Lutz, Florida as the reference point for ANGELA SCAMARDELLA, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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