Individual provider Active NPI

Michelle Lynne Hull, PT

  • Physical Therapist
  • Melbourne, FL
National Provider Identifier
1306325444
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT33778 Issued in FL
Practice address
7277 4450 W Eau Gallie Blvd
#180
Melbourne, FL 32934-3293
Phone
(321) 255-6627
Fax
(321) 773-5268
NPI assigned
Aug 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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 PT33778 FL Primary

Addresses

Primary practice location

7277 4450 W Eau Gallie Blvd
#180
Melbourne, FL 32934-3293

Mailing address

4450 W Eau Gallie Blvd Ste 180
Melbourne, FL 32934-7277
Phone (321) 255-6627

Other identifiers 1

IdentifierTypeStateIssuer
PT33778OtherFLPT LICENSE

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

State licenses

LicenseStateTypeSpecialty
PT33778FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ability Plus Therapy Inc. PastSince Jan 24, 2021 Accepting new patients

Networks

  • Freedom Health HMO Network

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": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1306325444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 W EAU GALLIE BLVD STE 180",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329347277",
            "telephone_number": "321-255-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7277 4450 W EAU GALLIE BLVD",
            "address_2": "#180",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329343293",
            "telephone_number": "321-255-6627",
            "fax_number": "321-773-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "MICHELLE",
        "middle_name": "LYNNE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "PT33778",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.