Michael Brandon Starace, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 28234 Issued in FL

Practice address

2550 N State St Unit 4
Bunnell, FL 32110-3418

Phone

(386) 385-8749

Fax

(386) 693-1798

NPI assigned

Jul 31, 2013

Last updated

Jun 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Starace Total Balance Physical Therapy P.a.

  • Physical Therapist
  • Bunnell, FL
  • NPI 1043750276
  Medicare reassignment NPD Authorized official
• Cora Rehabilitation

  • Physical Disabilities Residential Treatment Facility
  • Deland, FL
  • NPI 1952733586
  NPD (past)

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1689006744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 BANNBURY LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378848",
            "telephone_number": "732-668-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 N STATE ST UNIT 4",
            "city": "BUNNELL",
            "state": "FL",
            "postal_code": "321103418",
            "telephone_number": "386-385-8749",
            "fax_number": "386-693-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARACE",
        "first_name": "MICHAEL",
        "middle_name": "BRANDON",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-31",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 28234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sma Healthcare Inc
• Sma Healthcare Inc
• Sma Healthcare Inc (Vince Carter Sanctuary)
• Sma Healthcare Inc
• Starace Total Balance Physical Therapy P.a.
• State of Florida Deparment of Health (Flagler County Health Department)
• State of Florida Department of Health (Flagler County Health Department)
• State of Florida Department of Health (Flagler County Health Department)
• State of Florida Department of Health (Flagler County Health Department)
• State of Florida Department of Health (Flagler County Health Department)

• Physical Therapist in Bunnell, FL
• Providers in Bunnell, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.