Brevard Orthopaedic Spine & Pain Clinic Inc
NPI 1003100504 · Physical Therapist · Melbourne, FL
Provider details
- NPI number
- 1003100504
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Parent organization
- Brevard Orthopaedic Spine & Pain Clinic Inc
- Organization subpart
- Yes
- Authorized official
- Katrina Lopez, Credentialing(321) 541-1537
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Chiropractor111N00000X
Chiropractic Providers
- Massage Therapist225700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- The Back Center
- Doing business as
- The Back Center
Registry dates
- Enumerated
- 2011-06-02
- Last updated
- 2021-07-15
- Certified
- 2021-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.