Active NPI
Michael S Holmes, PT
- Physical Therapist
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT33131
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33131 | Other | FL | FLORIDA STATE LICENSE |
| VAD000 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 IncH2 Rehabilitation Services of Florida LLC
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT33131 | FL | MD | Physical Therapist |
| 5501009015 | MI | MD | Physical Therapist |
Practice roles (5 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beachside Physical Therapy | Physical Therapist | Current | Accepting new patients |
| H2 Rehabilitation Services of Florida LLC | Physical Therapist | Current | Accepting new patients |
| Beachside Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
| Beachside Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| H2 Rehabilitation Services of Florida LLC | Current | 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.
-
- Physical Therapist
- Indian Harbour Beach, FL
- NPI 1457390874
FL, Physical Therapist
-
- Rehabilitation Clinic/Center
- Indian Harbour Beach, FL
- NPI 1417775784
FL, Physical Therapist
-
- Rehabilitation Clinic/Center
- Lady Lake, FL
- NPI 1316721293
-
- Rehabilitation Clinic/Center
- Ormond Beach, FL
- NPI 1376305938
-
- Rehabilitation Clinic/Center
- Chiefland, FL
- NPI 1184723751
-
- Rehabilitation Clinic/Center
- Lakewood Ranch, FL
- NPI 1275285926
-
- Rehabilitation Clinic/Center
- Fleming Island, FL
- NPI 1366495533
-
- Rehabilitation Clinic/Center
- Jacksonville, FL
- NPI 1407943160
-
- Rehabilitation Clinic/Center
- Fernandina Beach, FL
- NPI 1447203948
-
- Rehabilitation Clinic/Center
- Middleburg, FL
- NPI 1710930722
-
- Rehabilitation Clinic/Center
- Saint Marys, GA
- NPI 1851661045
-
- Physical Therapist
- Viera, FL
- NPI 1952415622
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.