Individual provider Active NPI

Michael G. Vlasich, P.T.

  • Physical Therapist
  • Stuart, FL
National Provider Identifier
1366441057
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 13615 Issued in FL
Practice address
4699 SE Winter Haven CT
Stuart, FL 34997-8579
Phone
(772) 286-6654
Fax
(772) 286-6654
NPI assigned
Jul 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 PT 13615 FL Primary

Addresses

Primary practice location

4699 SE Winter Haven CT
Stuart, FL 34997-8579

Mailing address

4699 SE Winter Haven CT
Stuart, FL 34997-8579
Phone (772) 286-6654

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
PT 13615FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandra Berger, MD-P.a. PastSince Feb 23, 2019 Accepting new patients
Allan Birnbaum DO PA PastSince Nov 1, 1998 Accepting new patients

Organizations & group practices 2

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": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366441057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4699 SE WINTER HAVEN CT",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349978579",
            "telephone_number": "772-286-6654",
            "fax_number": "772-286-6654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4699 SE WINTER HAVEN CT",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349978579",
            "telephone_number": "772-286-6654",
            "fax_number": "772-286-6654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLASICH",
        "first_name": "MICHAEL",
        "middle_name": "G.",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 13615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.