Organization Active NPI

Cherry Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • Rockledge, FL
National Provider Identifier
1760229629
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
CHERRY PHYSICAL THERAPY, INC.
Practice address
571 Haverty CT Ste W
Rockledge, FL 32955-3614
Phone
(214) 548-0811
NPI assigned
Jul 9, 2024
Last updated
Jul 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Authorized official

Name
Tracey Lee Cherry, PTNPI 1306948005
Title
Owner/Employee
Phone
(214) 548-0811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

571 Haverty CT Ste W
Rockledge, FL 32955-3614

Mailing address

1418 Glendale Ave NW
Palm Bay, FL 32907-8011
Phone (214) 548-0811

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1760229629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 GLENDALE AVE NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329078011",
            "telephone_number": "214-548-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 HAVERTY CT STE W",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553614",
            "telephone_number": "214-548-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "CHERRY",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/EMPLOYEE",
        "authorized_official_telephone_number": "214-548-0811",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.