Tryfon Gerasimos Theophilopoulos

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

3011 S Babcock St
Melbourne, FL 32901-6920

Phone

(575) 674-2266

NPI assigned

Oct 12, 2026

Last updated

Oct 12, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1791763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1255236055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 6TH AVE APT D",
            "city": "MELBOURNE BEACH",
            "state": "FL",
            "postal_code": "329512336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 S BABCOCK ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329016920",
            "telephone_number": "575-674-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEOPHILOPOULOS",
        "first_name": "TRYFON",
        "middle_name": "GERASIMOS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-12",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy A Thein, LCSW, CAP
• Jose Thekkedam
• Michelle M. Theodore, BA
• Basil Theodotou, M.D.
• Lee G Theophelis, MD
• Therarehab, Inc.
• Therese S. Brown, PA
• Aaron M Theriault, MT
• Stephen Emile Theriault, PA-C
• Katherine Thew

• Student in an Organized Health Care Education/Training Program in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Student in an Organized Health Care Education/Training Program in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.