Individual provider Active NPI

Nichole Rhae Sabado, PT, DPT, ATC, LAT

  • Physical Therapist
  • Rockledge, FL
National Provider Identifier
1811209372
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT30101 Issued in FL
Practice address
389 Commerce Pkwy Ste 100
Rockledge, FL 32955
Phone
(321) 305-6567
Fax
(321) 806-3284
NPI assigned
Jul 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AL2846 FL
Physical Therapist 225100000X PT30101 FL Primary

Addresses

Primary practice location

389 Commerce Pkwy Ste 100
Rockledge, FL 32955

Mailing address

389 Commerce Pkwy Ste 100
Rockledge, FL 32955-4202
Phone (321) 305-6567

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180517000366 FL Practitioner - Physical Therapist in Private Practice 9931464138 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sobe Innovative Rehabilitation PLLCGroup PAC ID 4789994336, 178 clinicians
Harbor City Physical Therapy, PAGroup PAC ID 9335167790, 7 clinicians

Practice addresses (Care Compare)

Miami, FL 33179
Phone (786) 770-9480

389 Commerce Pkwy
Suite 100
Rockledge, FL 32955-4202
Phone (321) 305-6567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT30101FLMDPhysical Therapist
AL2846FLMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor City Physical Therapy, PA Physical Therapist CurrentSince May 1, 2018 Accepting new patients
Sobe Innovative Rehabilitation PLLC Physical Therapist CurrentSince Dec 13, 2024 Accepting new patients

Locations

2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014

5000 N Wickham Rd
Ste 107
Melbourne, FL 32940
Phone (321) 701-4020

389 Commerce Pkwy
Ste 100
Rockledge, FL 32955
Phone (321) 305-6567

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1811209372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 COMMERCE PKWY STE 100",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554202",
            "telephone_number": "321-305-6567",
            "fax_number": "321-806-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 COMMERCE PKWY STE 100",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "32955",
            "telephone_number": "321-305-6567",
            "fax_number": "321-806-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABADO",
        "first_name": "NICHOLE",
        "middle_name": "RHAE",
        "credential": "PT, DPT, ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-12",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL2846",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT30101",
            "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 May 23, 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.