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

Mr. Brian Robert Wingard, MA

Individual provider Physical Therapy Assistant · NPI 1487896684

Mr. Brian Robert Wingard, MA is a Physical Therapy Assistant in Cocoa, Florida. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2009
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

640 Brevard Ave Ste 104
Cocoa, FL 32922-7849
Phone: (321) 433-1111
Fax: (321) 252-0425
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Physical Therapy Assistant Taxonomy 225200000X · Licence A3367 (MD)

Record details

NPI number1487896684
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorYes
NPI enumeratedApril 2, 2009
Last updated in NPPESMarch 1, 2021
Certification dateMarch 1, 2021
Mailing address640 Brevard Ave Ste 104, Cocoa, FL 32922-7849

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