Overcomers Rehab & Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT12961 Issued in FL

Legal business name

OVERCOMERS REHAB & PHYSICAL THERAPY

Practice address

18 W Avenue B Ste 4
Melbourne, FL 32901-1219

Phone

(321) 757-0626

Fax

(321) 757-0323

NPI assigned

Jul 22, 2011

Last updated

Nov 23, 2018By 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

Mr. Anthony R ElseNPI 1457408668

Title

Owner/President

Phone

(321) 757-0626

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• Anthony R Else, PT

  • Physical Therapist
  • Rockledge, FL
  • NPI 1457408668
  Medicare reassignment NPD Authorized official
• Vanita Gaglani, RPT

  • Physical Therapist
  • Melbourne, FL
  • NPI 1578572673
  NPD (past)

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

{
    "created_epoch": "1311292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542931200000",
    "number": "1073891123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 WOODSMERE PKWY",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554408",
            "telephone_number": "321-757-0626",
            "fax_number": "321-757-0323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 W AVENUE B STE 4",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329011219",
            "telephone_number": "321-757-0626",
            "fax_number": "321-757-0323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Overcomers Rehab & Physical Therapy Services",
            "address_2": "1335 US Hwy 1",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329554408",
            "country_code": "US",
            "telephone_number": "321-757-0626",
            "fax_number": "321-757-0323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OVERCOMERS REHAB & PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-22",
        "last_updated": "2018-11-23",
        "status": "A",
        "authorized_official_last_name": "ELSE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "321-757-0626",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT12961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018931400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Osterhout
• Katharine Oswald, LCSW
• Bryanna Oswalt, LMFT
• Linda M Ouellette, PH.D., LMHC, LMFT,
• Tiffiny Ann Overath
• Amber Leigh Owen, FNP-C
• Brianna K Owen, COTA
• Melissa Owen, BCBA
• Shraddha Oza, APRN
• P.a.M. Care Inc.

• Physical Therapy Clinic/Center in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.