Active NPI
Akshay Samant
- Physical Therapist
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT34416
- Practice address
- 405 N Wickham Rd Ste 103
Melbourne, FL 32935-8628 - Phone
- (321) 327-8509
- NPI assigned
- Oct 24, 2016
- Last updated
- Oct 23, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05011827A | IN | |
| Physical Therapist | 225100000X | PT34416 | FL | Primary |
Addresses
Primary practice location
405 N Wickham Rd Ste 103
Melbourne, FL 32935-8628
Mailing address
4855 Lake Waterford Way W
Melbourne, FL 32901-8412
Phone (317) 666-1277
Other practice location 1
405 N Wickham Rd
Melbourne, FL 32935-8628
Phone (321) 327-8509
Other practice location 2
506 E. Southway Blvd
Kokomo, IN 46902-3820
Phone (765) 626-0299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
405 N Wickham Rd
Suite 103
Melbourne, FL 32935-8628
Phone (321) 327-8509
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT34416 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axispro Physical Therapy LLC | Current | Accepting new patients |
Locations
405 N Wickham Rd
Ste 103
Melbourne, FL 32935
Phone (321) 327-8509
5240 Babcock St NE
Ste 102
Palm Bay, FL 32905
Phone (321) 327-8509
760 Barnes Blvd
Ste 103
Rockledge, FL 32955
Phone (321) 327-8509
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Melbourne, FL
- NPI 1821443474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1437600509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4855 LAKE WATERFORD WAY W",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329018412",
"telephone_number": "317-666-1277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 N WICKHAM RD STE 103",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329358628",
"telephone_number": "321-327-8509"
}
],
"practiceLocations": [
{
"address_1": "405 N Wickham Rd",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329358628",
"country_code": "US",
"telephone_number": "321-327-8509",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "506 E. SOUTHWAY BLVD",
"address_purpose": "LOCATION",
"city": "Kokomo",
"state": "IN",
"postal_code": "469023820",
"country_code": "US",
"telephone_number": "765-626-0299",
"fax_number": "765-864-2070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAMANT",
"first_name": "AKSHAY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-24",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05011827A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT34416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
- Lyle Spencer Saltzman, M.D.
- Saltzman, Tanis, Pittel, Levin and Jacobson, LLC (Pediatric Associates)
- Anita Saluja, MD
- Judie L Salzano
- Sam's Club Optical (Sam's Club Optical 30-8141)
- Effie D Samitas, MD
- Sams East Inc (Sams Pharmacy 10-8141)
- Sheilynette Sanabria-Soto
- German Sanchez-Casis, M.D.
- Alexander Sanchez, CRT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.