Healthcare Provider Details

I. General information

NPI: 1225973845
Provider Name (Legal Business Name): ALIGN PHYSICAL THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6865 MURRELL RD STE 1
MELBOURNE FL
32940-8965
US

IV. Provider business mailing address

2030 S PATRICK DR STE 3
INDIAN HARBOUR BEACH FL
32937-4400
US

V. Phone/Fax

Practice location:
  • Phone: 321-622-5707
  • Fax: 321-622-8557
Mailing address:
  • Phone: 321-622-5707
  • Fax: 321-622-8557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMY STROUP
Title or Position: VP OF ADMINISTRATION
Credential:
Phone: 321-622-5707