Individual provider Active NPI

Michael S Holmes, PT

  • Physical Therapist
  • Melbourne, FL
National Provider Identifier
1659475960
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT33131 Issued in FL
Practice address
7341 Office Park PL Ste 102
Melbourne, FL 32940-8280
Phone
(321) 690-6612
Fax
(321) 690-2630
NPI assigned
Sep 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501009015 MI
Physical Therapist 225100000X PT33131 FL Primary

Addresses

Primary practice location

7341 Office Park PL Ste 102
Melbourne, FL 32940-8280

Mailing address

125 Cardinal Dr
Melbourne Beach, FL 32951-3732
Phone (321) 652-2643

Other practice location 1

660 E Eau Gallie Blvd Ste 106
Indian Harbour Beach, FL 32937-4252
Phone (951) 696-9353 ext. 138

Other identifiers 2

IdentifierTypeStateIssuer
33131OtherFLFLORIDA STATE LICENSE
VAD000MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180717003862 FL Practitioner - Physical Therapist in Private Practice 1052668324 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beachside Physical Therapy Inc 6 clinicians
H2 Rehabilitation Services of Florida LLC 257 clinicians

Practice addresses (Care Compare)

3680 N Wickham Rd
Suite B
Melbourne, FL 32935-2327
Phone (321) 255-5500

660 E Eau Gallie Blvd
Suite 106
Indian Harbour Beach, FL 32937-4252
Phone (321) 773-5290

660 E Eau Gallie Blvd
Suite 106
Indian Harbour Beach, FL 32937-4256

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT33131FLMDPhysical Therapist
5501009015MIMDPhysical Therapist

Practice roles (5 of 6)

OrganizationSpecialtyStatusNew patients
Beachside Physical Therapy Physical Therapist CurrentSince May 3, 2018 Accepting new patients
H2 Rehabilitation Services of Florida LLC Physical Therapist CurrentSince May 1, 2025 Accepting new patients
Beachside Physical Therapy, Inc. Physical Therapist Current Accepting new patients
Beachside Physical Therapy Inc Physical Therapist CurrentSince May 3, 2018 Accepting new patients
H2 Rehabilitation Services of Florida LLC CurrentSince May 1, 2025 Accepting new patients

Locations

660 E Eau Gallie Blvd
Ste 106
Indian Harbour Beach, FL 32937
Phone (321) 773-5290

3680 N Wickham Rd
Ste B
Melbourne, FL 32935
Phone (321) 255-5500

13 E Melbourne Ave
Ste A
Melbourne, FL 32901
Phone (321) 425-4321

7341 Office Park Pl
Ste 102
Viera, FL 32940
Phone (321) 690-6612

Networks

  • Freedom Health HMO Network

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1659475960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CARDINAL DR",
            "city": "MELBOURNE BEACH",
            "state": "FL",
            "postal_code": "329513732",
            "telephone_number": "321-652-2643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7341 OFFICE PARK PL STE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408280",
            "telephone_number": "321-690-6612",
            "fax_number": "321-690-2630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 E Eau Gallie Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Indian Harbour Beach",
            "state": "FL",
            "postal_code": "329374252",
            "country_code": "US",
            "telephone_number": "951-696-9353 x138",
            "fax_number": "951-973-7216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "MICHAEL",
        "middle_name": "S",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501009015",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT33131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA STATE LICENSE",
            "identifier": "33131",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "VAD000",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.