Physical Rehab and Medical Associates Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHYSICAL REHAB AND MEDICAL ASSOCIATES INC

Practice address

6300 N Wickham Rd
#116
Melbourne, FL 32940-2028

Phone

(321) 757-6899

Fax

(321) 757-6859

NPI assigned

Jan 19, 2017

Last updated

Jan 19, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole M Espinoza

Title

Practice Manager

Phone

(321) 757-6899

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1073059705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 S PATRICK DR",
            "address_2": "#137",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374377",
            "telephone_number": "321-757-6899",
            "fax_number": "321-757-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 N WICKHAM RD",
            "address_2": "#116",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402028",
            "telephone_number": "321-757-6899",
            "fax_number": "321-757-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL REHAB AND MEDICAL ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "ESPINOZA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "321-757-6899",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deena Phillips
• Jerry Franklin Phillips, LMHC
• Laurie Hamilton Phillips, PT
• Nicole Phillips
• Wendy Tamoni Phillips
• Physical Therapy Professionals, LLC (PT Professionals and PT Pros)
• Physician Assistant Services of Florida LLC
• Physician Associates LLC
• Physicians Optical Lab Inc
• Steven D Picerne, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.