Brevard Physical Therapy LLC
NPI 1417671645ActiveOrganization· Physical Therapist, Geriatrics· Melbourne, FL
Physical Therapist, Geriatrics in Melbourne, Florida, registered in NPPES in September 2022. The authorized official on file is Erik Nelson, DPT, Owner. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1417671645 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 30, 2022 |
| Last updated in NPPES | Sep 30, 2022 |
| Certified by provider | Sep 30, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist, Geriatrics Primary | 2251G0304X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (FL) |
|---|