FLORIDA THERAPY CENTER OF MELBOURNE LLC (NPI# 1144288986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144288986 |
| Entity Type | Organization |
| Organization Name | FLORIDA THERAPY CENTER OF MELBOURNE LLC |
| Practice Address |
1990 W New Haven Ave Ste 105 Melbourne FL 32904-3908 |
| Practice Telephone | 3217686119 |
| Practice Fax Number | 3217681710 |
| Mailing Telephone | 3218907439 |
| Mailing Fax Number | 3217681710 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2019-02-06 |
| Authorized Official Name | MR. MATHEW SIMON KRONMAN (ADMINISTRATOR) |
| Authorized Official Telephone | 3218907439 |
| Authorized Official Credential | MPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS PROVIDER NUMBER | GF7 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1747 Evans Rd Ste 102, Melbourne, FL 32904 | 3217686119 | 3217681710 |
| Street Address |
1990 W NEW HAVEN AVE STE 105 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32904-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225508716 | Jennifer Rose Middleton | Respiratory Therapist, Registered | 1990 W New Haven Ave Ste 105, Melbourne, FL 32904-3908 | 2018-11-28 |
| 1013454768 | James R Claeys | Chiropractor | 1990 W New Haven Ave Ste 105, Melbourne, FL 32904-3908 | 2017-01-19 |
| 1396152096 | Onna Brewer | Psychologist | 1990 W New Haven Ave Ste 105, Melbourne, FL 32904-3908 | 2014-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066512 | Shepherd's Heart Ministries | Counselor | 900 S Wickham Rd, Melbourne, FL 32904 | 2019-08-01 |
| 1588138663 | Nicholle C Rothengass | Physician Assistant | 2263 W New Haven Ave # 350, W Melbourne, FL 32904 | 2019-01-11 |
| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1184119299 | Marni B Simon | Speech-Language Pathologist | 565 Acacia Ave, Melbourne Village, FL 32904 | 2018-06-30 |
| 1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
| 1598276271 | Donetta Gwin Reynolds | Early Intervention Provider Agency | 764 Triples Crown Lane, West Melbourne, FL 32904 | 2017-10-20 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1366875387 | Cancer Center of Melbourne LLC | Clinic/Center | 415 S. Wickham Rd., Melbourne, FL 32904 | 2013-08-13 |
| 1558704312 | Sandra Suzanne Borthwick | Social Worker | 569 Sylvia Rd, Melbourne, FL 32904 | 2013-04-11 |
| 1396983607 | Genesis | Skilled Nursing Facility | 2653 Reflections Pl, W. Melbourne, FL 32904 | 2009-01-23 |
| Find all providers in zip 32904 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960704 | Victoria Garcia | Clinic/Center | 1252 Nw 32nd St, Miami, FL 33142-6143 | 2020-04-06 |
| 1043846454 | Recovery Is Hope, LLC | Clinic/Center | 2512 W Cherry St Apt E, Tampa, FL 33607-3355 | 2020-03-17 |
| 1245750967 | Semper Therapy Center Inc | Clinic/Center | 8500 Sw 8th Street, Suite 224, Miami, FL 33144 | 2017-06-23 |
| 1477089274 | Sardonyx Group Therapy Inc | Clinic/Center | 4320 W Broward Blvd Ste 4, Plantation, FL 33317-3756 | 2017-05-11 |
| 1548637671 | Lilypad Counseling Services | Clinic/Center | 9589 Verona Lakes Blvd, Boynton Beach, FL 33472-2759 | 2015-08-24 |
| 1144619610 | Tnr Staffing, LLC | Clinic/Center | 6141 Lakae Worth Road, Lake Worth, FL 33463-3807 | 2015-01-21 |
| 1144562612 | Jl X Ray Options, Inc | Clinic/Center | 10340 Nw 36th Ct, Miami, FL 33147-1036 | 2013-03-22 |
| 1609122639 | Ariel Perez | Clinic/Center | 4070 Nw 5 St, Miami, FL 33126 | 2012-07-27 |
| 1942572805 | Instituto Medico Del Dolor LLC | Clinic/Center | 717 Ponce De Leon Blvd Ste 218, Coral Gables, FL 33134-2048 | 2012-02-07 |
| 1902174683 | Pulyterapia Spa Corp | Clinic/Center | 9369 Fountainbleau Blvd Apt J108, Miami, FL 33172-5629 | 2011-12-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.