Individual provider Active NPI

Cheri Ann Flanagan, PT

  • Physical Therapist
  • Palm Bay, FL
National Provider Identifier
1487244000
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT33596 Issued in FL
Practice address
1350 Malabar Rd SE
Palm Bay, FL 32907-3406
Phone
(321) 345-4224
NPI assigned
Jan 19, 2021
Last updated
Jan 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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 PT33596 FL Primary

Addresses

Primary practice location

1350 Malabar Rd SE
Palm Bay, FL 32907-3406

Mailing address

1110 Love CT NW
Palm Bay, FL 32907-9489
Phone (316) 518-7844

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210219001776 FL Practitioner - Physical Therapist in Private Practice 4486069622 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
III-D Therapy Services CurrentSince Dec 1, 2020 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients
Legacy Healthcare Services, Inc Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients

Locations

2219 Chiquita Blvd S
Cape Coral, FL 33991
Phone (239) 205-3654

1350 Malabar Rd SE
Ste 2
Palm Bay, FL 32907
Phone (321) 345-4224

8213 Killearn Lakes Ter
Tallahassee, FL 32312
Phone (850) 391-0979

2395 Minton Rd
West Melbourne, FL 32904
Phone (321) 220-0295

38130 Pretty Pond Rd
Zephyrhills, FL 33540
Phone (813) 400-2291

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441

Organizations & group practices 3

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": "1611014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1487244000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 LOVE CT NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329079489",
            "telephone_number": "316-518-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 MALABAR RD SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329073406",
            "telephone_number": "321-345-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLANAGAN",
        "first_name": "CHERI",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33596",
            "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 Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.