Active NPI
Brooke Barton Rovillo, DPT
- Physical Therapist
- Ormond Beach, FL
National Provider Identifier
1841716164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 32853
- Practice address
- 1400 Hand Ave Ste Q
Ormond Beach, FL 32174-8196 - Phone
- (386) 673-9880
- Fax
- (386) 673-5841
- NPI assigned
- Aug 17, 2017
- Last updated
- May 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 32853 | FL | Primary |
Addresses
Primary practice location
1400 Hand Ave Ste Q
Ormond Beach, FL 32174-8196
Mailing address
1400 Hand Ave Ste Q
Ormond Beach, FL 32174-8196
Phone (386) 673-9880
Other practice location 1
1440 Reed Canal Rd Ste 101
Port Orange, FL 32129-9460
Phone (386) 767-1185
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32853 | FL | MD | Physical Therapist |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557100800000",
"number": "1841716164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 HAND AVE STE Q",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321748196",
"telephone_number": "386-673-9880",
"fax_number": "386-673-5841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 HAND AVE STE Q",
"city": "ORMOND BEACH",
"state": "FL",
"postal_code": "321748196",
"telephone_number": "386-673-9880",
"fax_number": "386-673-5841"
}
],
"practiceLocations": [
{
"address_1": "1440 Reed Canal Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Port Orange",
"state": "FL",
"postal_code": "321299460",
"country_code": "US",
"telephone_number": "386-767-1185",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROVILLO",
"first_name": "BROOKE",
"middle_name": "BARTON",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-17",
"last_updated": "2019-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "32853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ormond Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.