NPIMap

Organization Active NPI

Harbor City Physical Therapy, PA

  • Physical Therapist
  • Melbourne, FL
National Provider Identifier
1033243936
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
FLPT18001 Issued in FL
Legal business name
HARBOR CITY PHYSICAL THERAPY, PA
Practice address
307 E New Haven Ave
Suite 2
Melbourne, FL 32901-4576
Phone
(321) 953-3991
Fax
(321) 953-3951
NPI assigned
Mar 15, 2007
Last updated
Jan 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Authorized official

Name
Lawrence Michael Shneyder, PTNPI 1285607929
Title
Owner/PT
Phone
(321) 953-3991

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X FLPT18001 FL Primary

Addresses

Primary practice location

307 E New Haven Ave
Suite 2
Melbourne, FL 32901-4576

Mailing address

307 E New Haven Ave
Suite 2
Melbourne, FL 32901-4576
Phone (321) 953-3991

Other practice location 1

5000 N Wickham Rd Ste 107
Melbourne, FL 32940-7321
Phone (321) 701-4020

Other practice location 2

389 Commerce Pkwy Ste 100
Rockledge, FL 32955-4202
Phone (321) 305-6567

Other identifiers 3

IdentifierTypeStateIssuer
891232700MedicaidFL
331012OtherFLWELLCARE PROVIDER NUMBER
Y918XOtherFLBCBS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060105000765 FL Part B Supplier - Clinic/Group Practice 9335167790 Receives reassigned benefits from 11 practitioners
Practice locations: Melbourne, FL; Rockledge, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033243936. Details of each certification follow.

  • CCN 686851 Outpatient physical therapy / speech pathology · Active · Name & address match · Details

Outpatient physical therapy / speech pathology certification: CCN 686851

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
HARBOR CITY PHYSICAL THERAPY PA
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Jun 28, 2006
Last certification
Jul 22, 2019
Ownership / control type
Proprietary
Facility address
307 E New Haven Ave
Melbourne, FL 32901

National Provider Directory

National Provider Directory

Locations

307 E New Haven Ave
Ste 2
Melbourne, FL 32901
Phone (321) 953-3991

5000 N Wickham Rd
Ste 107
Melbourne, FL 32940
Phone (321) 701-4020

389 Commerce Pkwy
Ste 100
Rockledge, FL 32955
Phone (321) 305-6567

Networks

  • Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Máximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
  • Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1033243936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E NEW HAVEN AVE",
            "address_2": "SUITE 2",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014576",
            "telephone_number": "321-953-3991",
            "fax_number": "321-953-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E NEW HAVEN AVE",
            "address_2": "SUITE 2",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014576",
            "telephone_number": "321-953-3991",
            "fax_number": "321-953-3951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5000 N Wickham Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329407321",
            "country_code": "US",
            "telephone_number": "321-701-4020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "389 Commerce Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329554202",
            "country_code": "US",
            "telephone_number": "321-305-6567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HARBOR CITY PHYSICAL THERAPY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "SHNEYDER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PT",
        "authorized_official_telephone_number": "321-953-3991",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "FLPT18001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891232700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE PROVIDER NUMBER",
            "identifier": "331012",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "Y918X",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.