Individual provider Active NPI

Mathew Simon Kronman, P.T.

  • Physical Therapist
  • Melbourne, FL
National Provider Identifier
1013157239
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT16847 Issued in FL
Practice address
1698 W Hibiscus Blvd
Suite a
Melbourne, FL 32901-2639
Phone
(321) 768-6119
Fax
(321) 768-1710
NPI assigned
Feb 27, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT16847 FL Primary

Addresses

Primary practice location

1698 W Hibiscus Blvd
Suite a
Melbourne, FL 32901-2639

Mailing address

1698 W Hibiscus Blvd
Suite a
Melbourne, FL 32901-2639
Phone (321) 768-6119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Therapy Center of Suntree, LLC Physical Therapist Current Accepting new patients
Florida Therapy Center of Indian Harbour Beach, LLC Physical Therapist CurrentSince Mar 19, 2009 Accepting new patients
Florida Therapy Center Viera LLC PastSince Sep 7, 2011 Accepting new patients
Florida Therapy Center of Melbourne LLC PastSince Aug 13, 2023 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235692800000",
    "number": "1013157239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1698 W HIBISCUS BLVD",
            "address_2": "SUITE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012639",
            "telephone_number": "321-768-6119",
            "fax_number": "321-768-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 W HIBISCUS BLVD",
            "address_2": "SUITE A",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012639",
            "telephone_number": "321-768-6119",
            "fax_number": "321-768-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRONMAN",
        "first_name": "MATHEW",
        "middle_name": "SIMON",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT16847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.