SM Physiatry PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SM PHYSIATRY PLLC

Practice address

101 E Florida Ave
Melbourne, FL 32901-8301

Phone

(321) 984-4600

NPI assigned

Mar 8, 2018

Organization subpart

No

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

Authorized official

Name

Sioban McDermott, MD

Title

Owner

Phone

(321) 368-0292

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1396247052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 N HIGHWAY A1A APT 610",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329032765",
            "telephone_number": "321-368-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E FLORIDA AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329018301",
            "telephone_number": "321-984-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SM PHYSIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "SIOBAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-368-0292",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariam Slhoub
• Kerrigan Nicole Sloan
• Kimberly Sloman, BCBA-D
• Glenn R Slomin, DO
• Jaime A. Slomin, ARNP
• Kendra Natasha Smalls
• Alexandra Logan Smartt
• Carl T. Smedberg, M.D.
• Ayania Smiley
• Aaron Hall Smith

• Physical Medicine & Rehabilitation Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.