OrganizationActive
Brevard Physical Therapy LLC
NPI 1417671645 · Geriatric Physical Therapist · Melbourne, FL
Provider details
- NPI number
- 1417671645
- Entity type
- Organization
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Erik Nelson, Owner(321) 848-7695
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
7756 Mango Grove Ave
Melbourne, FL 32904-2133
Phone: (321) 848-7695
Street-level locationGet directions
Mailing address
7756 Mango Grove Ave
Melbourne, FL 32904-2133
Registry dates
- Enumerated
- 2022-09-30
- Last updated
- 2022-09-30
- Certified
- 2022-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.