Fyzical Therapy & Balance Center Rockledge-Viera

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

FYZICAL THERAPY & BALANCE CENTER ROCKLEDGE-VIERA

Doing business as

FYZICAL Therapy & Balance Center -Rockledge/Viera
Fyzical Therapy and Balance Center Rockledge-Viera

Practice address

634 Barnes Boulevard
Unit 202
Rockledge, FL 32955

Phone

(321) 351-2700

Fax

(321) 351-2727

NPI assigned

Aug 27, 2019

Last updated

Jan 16, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew William Bremer, DPTNPI 1730379215

Title

Owner, PT, Authorized Offical

Phone

(321) 351-2700

Specialties & licenses 1

Addresses

Other names 2

• FYZICAL Therapy & Balance Center -Rockledge/Viera Doing business as
• Fyzical Therapy and Balance Center Rockledge-Viera Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

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.

• Matthew William Bremer, PT

  • Physical Therapist
  • Rockledge, FL
  • NPI 1730379215
  Medicare reassignment Care Compare group NPD Authorized official
• Tymon Enwereama

  • Physical Therapist
  • Rockledge, FL
  • NPI 1154040459
  Medicare reassignment Care Compare group NPD
• Kushal Patel, PT, DPT

  • Physical Therapist
  • Melbourne, FL
  • NPI 1639887797
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1770131443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 BARNES BLVD STE 202",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329555217",
            "telephone_number": "321-351-2700",
            "fax_number": "321-351-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "634 BARNES BOULEVARD",
            "address_2": "UNIT 202",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "32955",
            "telephone_number": "321-351-2700",
            "fax_number": "321-351-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FYZICAL THERAPY & BALANCE CENTER ROCKLEDGE-VIERA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "BREMER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER, PT, AUTHORIZED OFFICAL",
        "authorized_official_telephone_number": "321-351-2700",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FYZICAL Therapy & Balance Center -Rockledge/Viera",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fyzical Therapy and Balance Center Rockledge-Viera",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Garry Fuller, MD
• Ivette Yolanda Fuller
• Kelly Fuller, APRN
• Functionally Fit Chiropractic, Inc.
• Functionally Fit Fitness Center, Inc
• Alana J Gainer, APRN
• Angela Michelle Gallagher, REGISTERED DIETITIAN
• Vickie Sue Gangwish, MSW
• Leylani Garcia
• Mayra I Garcia

• Physical Therapy Clinic/Center in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.