Unknown Individual – Physical Therapist, NPI 1548210354

Physical Therapist

Unknown Individual is a healthcare provider. based in Rockledge, Florida. specializing in Physical Therapist. They hold a License No. PT5944 (FL). The NPI Number for Unknown Individual is 1548210354

Main info

Organization

Inactive

48 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1548210354

Phone

(321) 434-9200

Address

3300 S FISKE BLVD

Deactivation Date

19 April 2023

Doctor Profile

Medical School Name

OTHER

Secondary Phone

3217254500

Graduation Year

1978 (48 years ago)

PAC ID

3870584600

Group Practice PAC ID

7416100672

Professional Enrollment ID

I20040520001012

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience23

Completeness75

Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

Health First Business Center (Bldg A), 3300, South Fiske Boulevard, Rockledge, Brevard County, Florida, 32955, United States
ROCKLEDGE, FL 329554306
Phone: (321) 434-9200
Fax: (321) 951-7408
Type: Mailing
North Wickham Road, Melbourne, Brevard County, Florida, 32940, United States
SUITE 301
MELBOURNE, FL 329402239
Phone: (321) 434-9200
Fax: (321) 434-9202
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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 32955)

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Provider's Procedures

Unknown Individual performs procedures in Physical Therapist. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
PHYSICAL THERAPY	FL	97001	Physical therapy evaluation	44	42
PHYSICAL THERAPY	FL	97140	Manual (physical) therapy techniques to 1 or more regions, each 15 minutes	331	61

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: 7416100672View full group profile

Name	Specialty	State
SANDRA L ARMSTRONG (ARPN)	-	FL
DR. NATHAN D ALLISON (M.D.)	General Surgery	FL
DR. ANTHONY JAY HERZOG (MD)	Internal Medicine	FL
LYDIA O. CRANE (MD)	-	FL
DR. OLGA DORJIMA EMGUSHOV (MD,MPH)	-	FL
DR. PATRICK R. SONSER (MD)	Physical Medicine And Rehabilitation	FL
ASHISH K OJHA (MD)	Family Practice	FL
MARK C DILLON (MD)	G A S T R O E N T E R O L O G Y	FL
DR. NICHOLO J. SARTOR (MD)	-	FL
MRS. MERLYN M MCDONALD (APRN)	Nurse Practitioner	FL