Individual provider Active NPI

Brianna Morgan Nicholas, DPT

  • Physical Therapist
  • Ormond Beach, FL
National Provider Identifier
1134005887
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
43617 Issued in FL
Practice address
739A S Nova Rd
Ormond Beach, FL 32174-7332
Phone
(386) 671-2626
NPI assigned
Aug 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 43617 FL Primary

Addresses

Primary practice location

739A S Nova Rd
Ormond Beach, FL 32174-7332

Mailing address

1420 New Bellevue Ave Apt 1612
Daytona Beach, FL 32114-5657
Phone (407) 488-2601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250924004006 FL Practitioner - Physical Therapist in Private Practice 4981109550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Washington University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florehab Center LLCGroup PAC ID 6002942141, 6 clinicians

Practice addresses (Care Compare)

739 S Nova Rd
Suite 739 741
Ormond Beach, FL 32174-7332
Phone (386) 671-2626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
43617FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Florehab Center LLC Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients

Locations

739 S Nova Rd
Ste 739741
Ormond Beach, FL 32174
Phone (386) 671-2626

739 S Nova Rd
#A
Ormond Beach, FL 32174
Phone (386) 589-4366

1402 Dunlawton Ave
Ste 4D
Port Orange, FL 32127
Phone (386) 671-2626

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1134005887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 NEW BELLEVUE AVE APT 1612",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145657",
            "telephone_number": "407-488-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739A S NOVA RD",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321747332",
            "telephone_number": "386-671-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLAS",
        "first_name": "BRIANNA",
        "middle_name": "MORGAN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "43617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.