TOP TIER SPORTS MEDICINE LLC (NPI# 1972959781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972959781 |
| Entity Type | Organization |
| Organization Name | TOP TIER SPORTS MEDICINE LLC |
| Practice Address |
6300 N Wickham Rd Suite 133b Melbourne FL 32940-2028 |
| Practice Telephone | 3214316805 |
| Mailing Telephone | 3214316805 |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |
| Authorized Official Name | DIANE L COLEMAN (ADMINISTRATOR) |
| Authorized Official Telephone | 3214316805 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
6300 N WICKHAM RD SUITE 133B |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940-2028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194728121 | David W Badolato | Family Medicine | 6300 N Wickham Rd, Ste 101, Melbourne, FL 32940-2028 | 2005-05-23 |
| 1366083172 | Elizabeth Evans Jenks | Specialist/Technologist, Other | 6300 N Wickham Rd, Melbourne, FL 32940-2028 | 2019-10-02 |
| 1376080846 | Lisa Frier Cobbs | Nurse Practitioner | 6300 N Wickham Rd, Ste. 132, Melbourne, FL 32940-2028 | 2017-01-23 |
| 1073059705 | Physical Rehab and Medical Associates Inc | Physical Therapist | 6300 N Wickham Rd, #116, Melbourne, FL 32940-2028 | 2017-01-19 |
| 1306180997 | Lordoni Discount Pharmacy Inc | Pharmacy | 6300 N Wickham Rd, Suite 126, Melbourne, FL 32940-2028 | 2012-11-20 |
| 1609151752 | Dax Vasiliou | Optometrist | 6300 N Wickham Rd, Melbourne, FL 32940-2028 | 2011-10-19 |
| 1699050393 | Olugbenga Oni | Pharmacist | 6300 N Wickham Rd, Suite 126, Melbourne, FL 32940-2028 | 2011-10-14 |
| 1669786414 | Deliece Legrande White | Acupuncturist | 6300 N Wickham Rd, Suite 116, Melbourne, FL 32940-2028 | 2010-08-04 |
| 1619295482 | Donna Borresen | Acupuncturist | 6300 N Wickham Rd, Melbourne, FL 32940-2028 | 2010-05-04 |
| 1861685273 | Daniel Edward De La Garza | Massage Therapist | 6300 N Wickham Rd, Melbourne, FL 32940-2028 | 2007-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1851885347 | A&m Therapy, Inc | Clinic/Center | 903 Jordan Blass Dr Ste 104, Melbourne, FL 32940-1325 | 2018-06-18 |
| 1073013397 | Body Mechanics Physical Therapy, Pa | Clinic/Center | 807 E Hibiscus Blvd, Melbourne, FL 32901-3219 | 2018-02-13 |
| 1225449325 | Sherri M. Lorraine | Clinic/Center | 801 E Hibiscus Blvd, Suite 1, Melbourne, FL 32901-3252 | 2014-05-13 |
| 1073891123 | Overcomers Rehab & Physical Therapy | Clinic/Center | 18 W Avenue B Ste 4, Melbourne, FL 32901-1219 | 2011-07-22 |
| 1821443474 | Axispro Physical Therapy LLC | Clinic/Center | 405 N Wickham Rd, Suite 103, Melbourne, FL 32935-8628 | 2016-05-02 |
| 1831470798 | Florida Therapy Center Viera LLC | Clinic/Center | 7640 N Wickham Rd Ste 110, Melbourne, FL 32940-8147 | 2011-09-06 |
| 1508033515 | Select Physical Therapy Holdings Inc | Clinic/Center | 709 S Harbor City Blvd, Ste 100, Melbourne, FL 32901-1938 | 2008-05-09 |
| 1225033988 | Rehabclinics (pta) Inc | Clinic/Center | 1341 Medical Park Dr, Suite 102, Melbourne, FL 32901 | 2005-06-17 |
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|---|---|---|---|---|
| 1356942742 | Restore Pelvic Health & Rehab LLC | Clinic/Center | 301 E Yamato Rd Ste 1240, Boca Raton, FL 33431-4931 | 2020-11-03 |
| 1558962019 | Ldg Medical Center LLC | Clinic/Center | 4485 Stirling Rd, Davie, FL 33314-7517 | 2020-11-02 |
| 1255930855 | Tideline Sports Performance & Rehabilitation LLC | Clinic/Center | 5261 Paylor Ln, Lakewood Ranch, FL 34240-2203 | 2020-10-23 |
| 1578162780 | Fourth Trimester Wellness LLC | Clinic/Center | 711 Chancellar Dr, Lutz, FL 33548-4512 | 2020-10-19 |
| 1306445754 | Concierge Rehab Inc | Clinic/Center | 1045 E Heritage Club Cir, Delray Beach, FL 33483-3483 | 2020-10-17 |
| 1689272627 | Ucdm Services Inc | Clinic/Center | 12030 Sw 129th Ct Ste 103, Miami, FL 33186-4584 | 2020-10-12 |
| 1902404163 | Frontline Physical Therapy | Clinic/Center | 8655 Bayou Way N, Pinellas Park, FL 33782-4549 | 2020-10-11 |
| 1891393138 | Venice Physical Therapy and Sports Medicine | Clinic/Center | 1776 S Tamiami Trl, Venice, FL 34293-1602 | 2020-10-09 |
| 1750988812 | Angeles Medical Center,inc. | Clinic/Center | 8725 Nw 18th Ter Ste 403, Doral, FL 33172-2610 | 2020-10-02 |
| 1740887967 | Neuro Thrive LLC | Clinic/Center | 1963 Ne Felicita Pl, Jensen Beach, FL 34957-5756 | 2020-10-01 |
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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.