Individual provider Active NPI

Anthony Robert Razzino, MSPT

  • Physical Therapist
  • Melbourne, FL
National Provider Identifier
1396839387
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT18880 Issued in FL
Practice address
1300 Bedford Dr
Suite 105
Melbourne, FL 32940-1991
Phone
(321) 242-7575
NPI assigned
Oct 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT18880 FL Primary

Addresses

Primary practice location

1300 Bedford Dr
Suite 105
Melbourne, FL 32940-1991

Mailing address

1273 Vestavia Cir
Melbourne, FL 32940-2302
Phone (321) 757-5569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111213000274 FL Practitioner - Physical Therapist in Private Practice 0446283022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1300 Bedford Dr
Suite 105
Melbourne, FL 32940-1991
Phone (321) 242-7575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Free Motion Physical Therapy of Brevard PA Physical Therapist CurrentSince Jan 2, 2003 Accepting new patients
Free Motion Physical Therapy of Brevard P.a. Physical Therapist CurrentSince Jan 2, 2003 Accepting new patients

Locations

1300 Bedford Dr
Ste 105
Melbourne, FL 32940
Phone (321) 242-7575

1982 US Highway 1
Ste 102
Rockledge, FL 32955
Phone (321) 433-3650

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396839387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1273 VESTAVIA CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402302",
            "telephone_number": "321-757-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BEDFORD DR",
            "address_2": "SUITE 105",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401991",
            "telephone_number": "321-242-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZZINO",
        "first_name": "ANTHONY",
        "middle_name": "ROBERT",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT18880",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.