Active NPI
Rochelle M Mead, P. T.
- Physical Therapist
- Fort Pierce, FL
National Provider Identifier
1104967603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT18685
- Practice address
- 405 South 7TH Street
Fort Pierce, FL 34950 - Phone
- (772) 460-2520
- Fax
- (772) 460-2521
- NPI assigned
- Feb 9, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT18685 | FL | Primary |
Addresses
Primary practice location
405 South 7TH Street
Fort Pierce, FL 34950
Mailing address
441 NW Prima Vista Blvd.,
Suite 105
Port St. Lucie, FL 34983
Phone (772) 873-8980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y917Z | Other | FL | BCBS GROUP |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Performance Rehabilitation, Inc. | Physical Therapist | Past | Accepting new patients |
| Quality Performance Rehabilitation Inc. | Physical Therapist | Past | Accepting new patients |
| Quality Performance Rehabilitation Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- Fort Pierce, FL
- NPI 1346380813
-
- Physical Therapist
- Port St Lucie, FL
- NPI 1538209762
-
- Physical Therapist
- Port St Lucie, FL
- NPI 1316071103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1104967603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "441 NW PRIMA VISTA BLVD.,",
"address_2": "SUITE 105",
"city": "PORT ST. LUCIE",
"state": "FL",
"postal_code": "34983",
"telephone_number": "772-873-8980",
"fax_number": "772-873-8981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 SOUTH 7TH STREET",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "34950",
"telephone_number": "772-460-2520",
"fax_number": "772-460-2521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEAD",
"first_name": "ROCHELLE",
"middle_name": "M",
"credential": "P. T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT18685",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP",
"identifier": "Y917Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.