Alpha Physical Therapy Clinic INC
Clinic/Center, Rehabilitation in Rockledge, FL. Organization (NPI-2).
NPI number1154914596
StatusActive
Last updated in NPPESFeb 17, 2021
Details
- NPI
- 1154914596
- Entity type
- Organization (NPI-2)
- Legal business name
- Alpha Physical Therapy Clinic INC
- Organization subpart
- No
- Enumeration date
- Feb 17, 2021
- Certification date
- Feb 17, 2021
- Last updated
- Feb 17, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0400X | Clinic/Center, Rehabilitation | – | – | Yes |
Practice location
147 Orange AveRockledge, FL 32955-2801
Phone 321-690-1220 · Fax 321-690-1223
Mailing address
147 Orange AveRockledge, FL 32955-2801
Phone 321-690-1220 · Fax 321-690-1223
Authorized official
Hany Mongui S Tawadrous
President
3216901223
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