Michael Anthony Ursillo, MS PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT24961 Issued in FL

Practice address

3680 N Wickham Rd Ste B
Melbourne, FL 32935-2327

Phone

(321) 255-5500

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

Yes

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.

• H2 Rehabilitation Services of Florida LLC

  • Rehabilitation Clinic/Center
  • Indian Harbour Beach, FL
  • NPI 1417775784

  FL, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Beachside Physical Therapy, Inc.

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1457390874

  FL, Physical Therapist

  Medicare reassignment NPD
• Burke Collins Therapy, Inc

  • Rehabilitation Clinic/Center
  • Lady Lake, FL
  • NPI 1316721293
  Care Compare group
• Burke Collins Therapy, Inc

  • Rehabilitation Clinic/Center
  • Ormond Beach, FL
  • NPI 1376305938
  Care Compare group
• H2 Rehabilitation Services of Florida LLC

  • Rehabilitation Clinic/Center
  • Chiefland, FL
  • NPI 1184723751
  Care Compare group
• H2 Rehabilitation Services of Florida LLC

  • Rehabilitation Clinic/Center
  • Lakewood Ranch, FL
  • NPI 1275285926
  Care Compare group
• H2 Rehabilitation Services of Florida LLC

  • Rehabilitation Clinic/Center
  • Fleming Island, FL
  • NPI 1366495533
  Care Compare group
• H2 Rehabilitation Services of Florida LLC

  • Rehabilitation Clinic/Center
  • Jacksonville, FL
  • NPI 1407943160
  Care Compare group
• H2 Rehabilitation Services of Florida LLC

  • Rehabilitation Clinic/Center
  • Fernandina Beach, FL
  • NPI 1447203948
  Care Compare group
• H2 Rehabilitation Services of Florida LLC

  • Rehabilitation Clinic/Center
  • Middleburg, FL
  • NPI 1710930722
  Care Compare group
• H2 Rehabilitation Services of Florida, LLC

  • Rehabilitation Clinic/Center
  • Saint Marys, GA
  • NPI 1851661045
  Care Compare group
• Beachside Physical Therapy Inc

  • Physical Therapist
  • Melbourne, FL
  • NPI 1346288974
  NPD

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

H2 Rehabilitation Services of Florida LLC 257 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles (7 of 8)

Locations

Networks

• Freedom Health HMO Network

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2024.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1992889745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 N WICKHAM RD STE B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329352327",
            "telephone_number": "321-255-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 N WICKHAM RD STE B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329352327",
            "telephone_number": "321-255-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URSILLO",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "MS PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "014155",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "005142",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel Urena, DPT, OCS
• Urgent Care Centers of Brevard County LLC
• Urgent Care Centers of Brevard County LLC
• Urgent Care Centers of Brevard County LLC
• Urgent Doccs Inc
• US National Healthcare Clinics, Inc
• Usv Optical Inc.
• Usv Optical, Inc.
• Leah McKenzi Utz, APRN
• V & N Pharmacy LLC

• All providers in Melbourne, FL
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.