NPIMap

Organization Active NPI

Florida Therapy Center of Palm Bay, LLC

  • Physical Therapist
  • Palm Bay, FL
National Provider Identifier
1447492863
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FLORIDA THERAPY CENTER OF PALM BAY, LLC
Practice address
4711 Babcock St NE Ste 6
Palm Bay, FL 32905-2805
Phone
(321) 726-4152
NPI assigned
Mar 31, 2009
Last updated
Aug 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Authorized official

Name
Mr. Mathew S Kronman, MPT
Title
President/Ceo
Phone
(321) 726-4150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X FL Primary

Addresses

Primary practice location

4711 Babcock St NE Ste 6
Palm Bay, FL 32905-2805

Mailing address

4711 Babcock St NE Ste 6
Palm Bay, FL 32905-2805
Phone (321) 726-4152

National Provider Directory

National Provider Directory

Locations

2060 Highway A1A
Ste 306
Indian Harbour Beach, FL 32937
Phone (321) 773-1778

306 Highway A1A
Indn Hbr Bch, FL 32937
Phone (321) 773-1778

4700 Babcock St NE
Ste 36
Palm Bay, FL 32905
Phone (321) 726-4150

4711 Babcock St NE
Ste 6
Palm Bay, FL 32905
Phone (321) 726-4152

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1447492863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 BABCOCK ST NE STE 6",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052805",
            "telephone_number": "321-726-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 BABCOCK ST NE STE 6",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329052805",
            "telephone_number": "321-726-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA THERAPY CENTER OF PALM BAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "KRONMAN",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "321-726-4150",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": null,
            "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 Aug 21, 2012; 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.