Florida Therapy Center Viera LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT16847 Issued in FL

Legal business name

FLORIDA THERAPY CENTER VIERA LLC

Practice address

7640 N Wickham Rd Ste 110
Melbourne, FL 32940-8147

Phone

(321) 255-2084

Fax

(321) 255-2087

NPI assigned

Sep 6, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Mathew Simon Kronman, MPTNPI 1013157239

Title

Ceo, President

Phone

(321) 255-2084

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mathew Simon Kronman, P.T.

  • Physical Therapist
  • Melbourne, FL
  • NPI 1013157239
  NPD (past) Authorized official

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1831470798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7640 N WICKHAM RD STE 110",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408147",
            "telephone_number": "321-255-2084",
            "fax_number": "321-255-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 N WICKHAM RD STE 110",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408147",
            "telephone_number": "321-255-2084",
            "fax_number": "321-255-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA THERAPY CENTER VIERA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-06",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "KRONMAN",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_middle_name": "SIMON",
        "authorized_official_title_or_position": "CEO, PRESIDENT",
        "authorized_official_telephone_number": "321-255-2084",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT16847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Retina Specialists, P.a.
• Florida Rheumatology Care
• Florida Shores of Melbourne Assisted Living Inc.
• Florida Therapy Center of Melbourne LLC
• Florida Therapy Center of Suntree, LLC
• Florida Woman Care LLC
• Florida Woman Care, LLC
• Florida Woman Care, LLC
• Floriday Fixation, Inc.
• Floridian Emergency Specialists LLC

• Physical Therapy Clinic/Center in Melbourne, FL
• Providers in Melbourne, 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 Sep 6, 2011; 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.