Active NPI
Theresa A Prescott, D.O.
- Neurology Physician
- Vero Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- OS12864
- Practice address
- 333 17TH St Ste Q
Vero Beach, FL 32960-5686 - Phone
- (772) 213-8881
- NPI assigned
- Jan 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | OS 009024 L | PA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 25MB07287700 | NJ | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | OS12864 | FL | |
| Neurology Physician | 2084N0400X | OS12864 | FL | Primary |
Addresses
Primary practice location
333 17TH St Ste Q
Vero Beach, FL 32960-5686
Mailing address
333 17TH St Ste Q
Vero Beach, FL 32960-5686
Phone (772) 213-8881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS12864 | FL | MD | Neurology Physician |
| 25MB07287700 | NJ | MD | Child & Adolescent Psychiatry Physician |
| OS 009024 L | PA | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCR Health, Inc. | Current | Accepting new patients | |
| Vero Beach Recovery Center LLC | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients | |
| Vero Beach Recovery Center LLC | Current | Accepting new patients | |
| Indian River Health Services Inc | Current | Accepting new patients | |
| MCR Health, Inc. | Current | Accepting new patients |
Locations
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
1190 37th St
Vero Beach, FL 32960
Phone (772) 563-4666
1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942
333 17th St
Ste M
Vero Beach, FL 32960
Phone (772) 584-3083
1000 36th St
Ste 5105
Vero Beach, FL 32960
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Vero Beach, FL
- NPI 1710933031
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
-
- Substance Abuse Rehabilitation Facility
- Vero Beach, FL
- NPI 1710558713
-
- Clinical Cardiac Electrophysiology Physician
- Vero Beach, FL
- NPI 1023563053
-
- Non-Pharmacy Dispensing Site
- Bradenton, FL
- NPI 1821878745
-
- Substance Abuse Rehabilitation Facility
- Vero Beach, FL
- NPI 1023973450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1457404576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 17TH ST STE Q",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329605686",
"telephone_number": "772-213-8881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 17TH ST STE Q",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329605686",
"telephone_number": "772-213-8881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESCOTT",
"first_name": "THERESA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-20",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "PA",
"license": "OS 009024 L",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NJ",
"license": "25MB07287700",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "FL",
"license": "OS12864",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "OS12864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.