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

Last updated

Aug 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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 LLCGroup PAC ID 3971411851, 257 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• H2 Rehabilitation Services of Florida LLC

  dba Beachside Physical Therapy

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

  Physical Therapist

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

  • Physical Therapist
  • Indian Harbour Beach, FL
  • NPI 1457390874
  Medicare reassignment NPD
• Beachside Physical Therapy Inc

  • Physical Therapist
  • Melbourne, FL
  • NPI 1346288974
  NPD
• Beachside Physical Therapy, Inc

  • Physical Therapist
  • Melbourne, FL
  • NPI 1699713222
  NPD
• H2 Rehabilitation Services of Florida LLC

  dba Beachside Physical Therapy

  • Rehabilitation Clinic/Center
  • West Melbourne, FL
  • NPI 1366269144
  NPD
• H2 Rehabilitation Services of Florida LLC

  dba H2 Health

  • Rehabilitation Clinic/Center
  • Jacksonville, FL
  • NPI 1336769801
  NPD (past)
• One to One Physical Therapy, Inc.

  • Physical Therapist
  • Delray Beach, FL
  • NPI 1093768517
  NPD (past)

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

{
    "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 (Employer Care Brevard)
• Urgent Care Centers of Brevard County LLC (Health First AdventHealth Centra Care Melbourne)
• Urgent Care Centers of Brevard County LLC (Health First AdventHealth Centra Care - Gateway)
• Urgent Doccs Inc
• US National Healthcare Clinics, Inc
• Usv Optical Inc.
• Usv Optical, Inc. (JC Penney Optical)
• Leah McKenzi Utz, APRN
• V & N Pharmacy LLC (Melbourne RX)

• Physical Therapist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• 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.