Active NPI
Patricia La Rovere, PT
- Physical Therapist
- Melbourne, FL
National Provider Identifier
1609289297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 29303
- Practice address
- 4450 W Eau Gallie Blvd
Suite 180
Melbourne, FL 32934-7277 - Phone
- (321) 255-6627
- Fax
- (321) 253-9777
- NPI assigned
- Jun 11, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 29303 | FL | Primary |
Addresses
Primary practice location
4450 W Eau Gallie Blvd
Suite 180
Melbourne, FL 32934-7277
Mailing address
4450 W Eau Gallie Blvd
Suite 180
Melbourne, FL 32934-7277
Phone (321) 255-6627
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29303 | FL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ability Plus Therapy Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Physical Therapist
- Melbourne, FL
- NPI 1598790156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402444800000",
"number": "1609289297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4450 W EAU GALLIE BLVD",
"address_2": "SUITE 180",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329347277",
"telephone_number": "321-255-6627",
"fax_number": "321-253-9777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4450 W EAU GALLIE BLVD",
"address_2": "SUITE 180",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329347277",
"telephone_number": "321-255-6627",
"fax_number": "321-253-9777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LA ROVERE",
"first_name": "PATRICIA",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-11",
"last_updated": "2014-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "29303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
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- L. Lee Smith, D.C, P.a
- La B&B Enterprise LLC (Pitcher Primary Care and la Wellness)
- Jacqueline M. La Manna, ARNP
- Labor Script Aesthesia Services LLC
- Labor Script Health Services LLC
- Labor Script LLC
- Laboratory Corporation of America
- Brittany Lacey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.