Tymon Enwereama

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

38771 Issued in FL

Practice address

634 Barnes Blvd Ste 202
Rockledge, FL 32955-5217

Phone

(321) 351-2700

NPI assigned

Aug 22, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fyzical Therapy and Balance Center Rockledge-VieraGroup PAC ID 6406278423, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fyzical Therapy & Balance Center Rockledge-Viera

  • Physical Therapy Clinic/Center
  • Rockledge, FL
  • NPI 1770131443

  FL, Physical Therapist

  Medicare reassignment Care Compare group NPD
• III-D Therapy Services

  • Speech-Language Pathologist
  • Palm Bay, FL
  • NPI 1124649280

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1154040459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 REVILLA LN",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 BARNES BLVD STE 202",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555217",
            "telephone_number": "321-351-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENWEREAMA",
        "first_name": "TYMON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-22",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "38771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shana M Engel, ARNP
• Wendy Engle
• Peter J. Enos, PHARMD DHA MBA MHA
• Enrique Technologies & Trading, LLC
• Jonelle Ensign, PHD
• Chance James Epps, LMT
• Ahmad Esmailbegui, D.O.
• Isaac Esseesse, M.D.
• Rosa Estela Flint, RN, BC, LCSW
• Selina Evans, DC

• All providers in Rockledge, FL
• Physical Therapist in Florida

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