Active NPI
Skilled Physicians Inc
- Physical Medicine & Rehabilitation Physician
- Indialantic, FL
National Provider Identifier
1598025967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Knoxville, TN
- NPI 1124137468
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.