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 registered under 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 Not confirmed with CMS for 14 years — call before visiting
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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients30
Services billed 2,837 a service is one billed item, such as a visit, a test or a procedure
Average patient age86

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Healthpro Heritage Rehab and Fitness LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 990 clinicians in the practice; 12 are shown here.

Other providers in Titusville