Organization Active NPI

Skilled Physicians Inc

  • Physical Medicine & Rehabilitation Physician
  • Indialantic, FL
National Provider Identifier
1598025967
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SKILLED PHYSICIANS INC
Practice address
810 Wavecrest Ave
Indialantic, FL 32903-3233
Phone
(321) 676-2008
NPI assigned
May 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Authorized official

Name
Dr. Melanie Rotenberg, M.D.
Title
President
Phone
(321) 676-2008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

810 Wavecrest Ave
Indialantic, FL 32903-3233

Mailing address

810 Wavecrest Ave
Indialantic, FL 32903-3233
Phone (321) 676-2008

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451520000000",
    "number": "1598025967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 WAVECREST AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033233",
            "telephone_number": "321-676-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 WAVECREST AVE",
            "city": "INDIALANTIC",
            "state": "FL",
            "postal_code": "329033233",
            "telephone_number": "321-676-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKILLED PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-20",
        "last_updated": "2015-12-31",
        "status": "A",
        "authorized_official_last_name": "ROTENBERG",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-676-2008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indialantic, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; 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.