AXISPRO PHYSICAL THERAPY LLC (NPI# 1821443474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821443474 |
| Entity Type | Organization |
| Organization Name | AXISPRO PHYSICAL THERAPY LLC |
| Practice Address |
405 N Wickham Rd Suite 103 Melbourne FL 32935-8628 |
| Mailing Address |
645 Newport Dr Indialantic FL 32903-4030 |
| Practice Telephone | 3218023130 |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2016-09-19 |
| Authorized Official Name | MACIEJ MOLIK (OWNER/MANAGER) |
| Authorized Official Telephone | 3215142844 |
| Authorized Official Credential | P.T |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
PT 27353 | FL | Ambulatory Health Care Facilities |
| Street Address |
405 N WICKHAM RD SUITE 103 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935-8628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891926176 | Maciej Stanislaw Molik | Physical Therapist | 405 N Wickham Rd, Suite 103, Melbourne, FL 32935-8628 | 2009-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
| 1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| Find all providers in zip 32935 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1851885347 | A&m Therapy, Inc | Clinic/Center | 903 Jordan Blass Dr Ste 104, Melbourne, FL 32940-1325 | 2018-06-18 |
| 1073013397 | Body Mechanics Physical Therapy, Pa | Clinic/Center | 807 E Hibiscus Blvd, Melbourne, FL 32901-3219 | 2018-02-13 |
| 1225449325 | Sherri M. Lorraine | Clinic/Center | 801 E Hibiscus Blvd, Suite 1, Melbourne, FL 32901-3252 | 2014-05-13 |
| 1073891123 | Overcomers Rehab & Physical Therapy | Clinic/Center | 18 W Avenue B Ste 4, Melbourne, FL 32901-1219 | 2011-07-22 |
| 1972959781 | Top Tier Sports Medicine LLC | Clinic/Center | 6300 N Wickham Rd, Suite 133b, Melbourne, FL 32940-2028 | 2016-05-11 |
| 1831470798 | Florida Therapy Center Viera LLC | Clinic/Center | 7640 N Wickham Rd Ste 110, Melbourne, FL 32940-8147 | 2011-09-06 |
| 1508033515 | Select Physical Therapy Holdings Inc | Clinic/Center | 709 S Harbor City Blvd, Ste 100, Melbourne, FL 32901-1938 | 2008-05-09 |
| 1225033988 | Rehabclinics (pta) Inc | Clinic/Center | 1341 Medical Park Dr, Suite 102, Melbourne, FL 32901 | 2005-06-17 |
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| 1689272627 | Ucdm Services Inc | Clinic/Center | 12030 Sw 129th Ct Ste 103, Miami, FL 33186-4584 | 2020-10-12 |
| 1902404163 | Frontline Physical Therapy | Clinic/Center | 8655 Bayou Way N, Pinellas Park, FL 33782-4549 | 2020-10-11 |
| 1891393138 | Venice Physical Therapy and Sports Medicine | Clinic/Center | 1776 S Tamiami Trl, Venice, FL 34293-1602 | 2020-10-09 |
| 1750988812 | Angeles Medical Center,inc. | Clinic/Center | 8725 Nw 18th Ter Ste 403, Doral, FL 33172-2610 | 2020-10-02 |
| 1740887967 | Neuro Thrive LLC | Clinic/Center | 1963 Ne Felicita Pl, Jensen Beach, FL 34957-5756 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.