Brian Lewis Mundy, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2005 Issued in FL

Practice address

26540 Ace Ave
Ste B
Leesburg, FL 34748-8279

Phone

(352) 314-9810

Fax

(352) 314-9878

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Coburn a. Marston, PT

  • Physical Therapy Clinic/Center
  • Leesburg, FL
  • NPI 1659591568

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053420364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S 11TH ST",
            "address_2": "SUITE 3",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485767",
            "telephone_number": "352-787-3609",
            "fax_number": "352-314-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26540 ACE AVE",
            "address_2": "STE B",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347488279",
            "telephone_number": "352-314-9810",
            "fax_number": "352-314-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDY",
        "first_name": "BRIAN",
        "middle_name": "LEWIS",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT2005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y910D",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerwiken Morpas
• Joseph Michael Morreale, D.C.
• Mitra Mossaddad, MD
• Alisa E Mountain
• Mr. Mobility Medical, Inc.
• Bozena Zaleska Munguba, DMD
• Muni V. Padman, M.D., P.a.
• Muni V. Padman, M.D., P.a.
• Mayra Noemi Munoz Delgado, M.D.
• Elffy Munoz, MD

• Physical Therapist in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.