Active NPI
Benita Carson
- Physical Therapist
- Melbourne Beach, FL
National Provider Identifier
1053969063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTT44280
- Practice address
- 3830 S Hwy A1A Ste C5
Melbourne Beach, FL 32951-3145 - Phone
- (321) 327-7889
- NPI assigned
- Sep 3, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTT44280 | FL | Primary |
| Athletic Trainer | 2255A2300X | AL6146 | FL |
Addresses
Primary practice location
3830 S Hwy A1A Ste C5
Melbourne Beach, FL 32951-3145
Mailing address
2900 65TH Dr Unit 103
Vero Beach, FL 32966-2183
Phone (772) 643-1882
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTT44280 | FL | MD | Physical Therapist |
| AL6146 | FL | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768176000000",
"number": "1053969063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 65TH DR UNIT 103",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329662183",
"telephone_number": "772-643-1882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3830 S HWY A1A STE C5",
"city": "MELBOURNE BEACH",
"state": "FL",
"postal_code": "329513145",
"telephone_number": "321-327-7889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARSON",
"first_name": "BENITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-03",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PTT44280",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL6146",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.