NPIMap

Organization Active NPI

Free Motion Physical Therapy of Brevard P.a.

  • Physical Therapist
  • Melbourne, FL
National Provider Identifier
1982798963
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FREE MOTION PHYSICAL THERAPY OF BREVARD P.A.
Practice address
1300 Bedford Dr
Suite 105
Melbourne, FL 32940-1991
Phone
(321) 242-7575
NPI assigned
Oct 3, 2006
Last updated
Mar 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2008

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

Authorized official

Name
Anthony Robert Razzino, MSPTNPI 1396839387
Title
Clinic Co-Owner/Director
Phone
(321) 242-7575

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 Therapist 225100000X Primary

Addresses

Primary practice location

1300 Bedford Dr
Suite 105
Melbourne, FL 32940-1991

Mailing address

1300 Bedford Dr
Suite 105
Melbourne, FL 32940-1991
Phone (321) 242-7575

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050914000603 FL Part B Supplier - Clinic/Group Practice 1456384031 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rockledge, FL; Melbourne, FL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Free Motion Physical Therapy of Brevard PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1300 Bedford Dr
Ste 105
Melbourne, FL 32940
Phone (321) 242-7575

Practitioners & affiliated clinicians

Practitioners 6

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": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206403200000",
    "number": "1982798963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BEDFORD DR",
            "address_2": "SUITE 105",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401991",
            "telephone_number": "321-242-7575",
            "fax_number": "321-242-7002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BEDFORD DR",
            "address_2": "SUITE 105",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401991",
            "telephone_number": "321-242-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE MOTION PHYSICAL THERAPY OF BREVARD P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-03-25",
        "status": "A",
        "authorized_official_last_name": "RAZZINO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CLINIC CO-OWNER/DIRECTOR",
        "authorized_official_telephone_number": "321-242-7575",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; 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.