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

Michael Anthony Ursillo, MSPT

Individual provider Physical Therapist · NPI 1992889745

Michael Anthony Ursillo, MSPT is a Physical Therapist in Private Practice in Melbourne, Florida. Qualified in 1993, 33 years ago. Practices with Beachside Physical Therapy Inc, a 9-clinician group and accepts Medicare assignment. Licensed in Connecticut, Florida and New York.

Years since qualifying
33
Licensed in
CT, FL, NY
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

3680 N Wickham Rd Ste B
Melbourne, FL 32935-2327
Phone: (321) 255-5500
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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 PT24961 (FL)
Physical Therapist Taxonomy 225100000X · Licence 014155 (NY)
Physical Therapist Taxonomy 225100000X · Licence 005142 (CT)

Record details

NPI number1992889745
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorYes
NPI enumeratedOctober 25, 2006
Last updated in NPPESAugust 22, 2024
Certification dateAugust 22, 2024
Mailing address3680 N Wickham Rd Ste B, Melbourne, FL 32935-2327

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Beachside Physical Therapy Inc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Melbourne