TALIA DOUGLAS – Physical Therapist, NPI 1457175028

TALIA DOUGLAS is a healthcare provider. based in Melbourne, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PT42502 (FL). The NPI Number for TALIA DOUGLAS is 1457175028

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
TALIA DOUGLAS
NPI
1457175028
Phone
Not provided
Address
2010 JANA CT
Enumeration Date
11 November 2024
Last Update Date
22 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3218023312
Graduation Year
2024 (2 years ago)
PAC ID
7012443989
Group Practice PAC ID
2567367030
Professional Enrollment ID
I20241216002505
Address ID
FL329032858IN1220XA1AX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for TALIA DOUGLAS

  • 2010 JANA CT

    MELBOURNE, FL 329406785

    Phone:

    Type: Mailing

  • 1220 N HWY A1A STE 117

    INDIALANTIC, FL 329032858

    Phone: (321) 802-3312

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-12-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241216002505IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32940)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567367030View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
-FL
-FL
-FL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
-FL
-UT
Physical Therapist In Private PracticeNJ

Reviews

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Frequently asked questions

What unique ID ties claims to TALIA DOUGLAS?
NPI 1457175028 is assigned to TALIA DOUGLAS under the national enumeration system.
Is TALIA DOUGLAS currently active in the NPI registry?
CMS-published data lists TALIA DOUGLAS as an active registrant.
Does TALIA DOUGLAS list a primary specialty?
If you are matching referrals, note Physical Therapist for TALIA DOUGLAS. Clinical services aligned with this taxonomy classification.
What location metadata exists for TALIA DOUGLAS?
The page summarizes Melbourne, Florida for TALIA DOUGLAS; expand the address list for detail.
How can I contact TALIA DOUGLAS?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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