Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mallikarjuna Prasad Suryamoni, PT

Individual provider Physical Therapist · NPI 1265703425

Mallikarjuna Prasad Suryamoni, PT is a Physical Therapist in Private Practice in Titusville, Florida. Qualified in 2012, 14 years ago. Practices with Healthpro Heritage Rehab and Fitness LLC, a 990-clinician group and accepts Medicare assignment. Licensed in Florida, Indiana and Michigan.

Years since qualifying
14
Licensed in
FL, IN, MI
In the registry since
2012
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1550 Jess Parrish Ct
Titusville, FL 32796-2147
Phone: (321) 269-2200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 25836 (FL)
Physical Therapist Taxonomy 225100000X · Licence 0500977A (IN)
Physical Therapist Taxonomy 225100000X · Licence 5501013526 (MI)

Record details

NPI number1265703425
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedJanuary 19, 2012
Last updated in NPPESJanuary 19, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Healthpro Heritage Rehab And Fitness Llc — 990 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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