Active NPI
Richard A Szelag, PT
- Physical Therapist
- Palm Bay, FL
National Provider Identifier
1376744003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 2291
- Practice address
- 6050 Babcock St SE
Suite 5
Palm Bay, FL 32909-3996 - Phone
- (321) 676-2055
- NPI assigned
- May 30, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 2291 | FL | Primary |
Addresses
Primary practice location
6050 Babcock St SE
Suite 5
Palm Bay, FL 32909-3996
Mailing address
4335 Lakeglen Dr
Melbourne, FL 32934-7711
Phone (321) 253-2712
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT 2291 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376744003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4335 LAKEGLEN DR",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329347711",
"telephone_number": "321-253-2712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6050 BABCOCK ST SE",
"address_2": "SUITE 5",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329093996",
"telephone_number": "321-676-2055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZELAG",
"first_name": "RICHARD",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 2291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.