Individual provider Active NPI

Michael Ringrose

  • Physical Therapist
  • Orlando, FL
National Provider Identifier
1639493802
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14220 Issued in FL
Practice address
100 W Gore St
204
Orlando, FL 32806-1044
Phone
(407) 835-8818
NPI assigned
Mar 17, 2010
Last updated
Mar 17, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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 14220 FL Primary

Addresses

Primary practice location

100 W Gore St
204
Orlando, FL 32806-1044

Mailing address

PO Box 781108
Orlando, FL 32878-1108
Phone (407) 617-0666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250805003297 FL Practitioner - Physical Therapist in Private Practice 8729596226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peoples Physical Therapy IncGroup PAC ID 2567367030, 17 clinicians

Practice addresses (Care Compare)

6300 N Wickham Rd
Suite 133B
Melbourne, FL 32940-2029
Phone (321) 421-7117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14220FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Peoples Physical Therapy Inc Physical Therapist CurrentSince Aug 13, 2025 Accepting new patients
Baseline Rehabilitation Inc Past Accepting new patients

Locations

6300 N Wickham Rd
Ste 133B
Melbourne, FL 32940
Phone (321) 421-7117

1950 Viera Blvd
Ste 107108
Rockledge, FL 32955
Phone (321) 622-4286

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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": "1268784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268784000000",
    "number": "1639493802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781108",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328781108",
            "telephone_number": "407-617-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W GORE ST",
            "address_2": "204",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061044",
            "telephone_number": "407-835-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINGROSE",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "14220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.