Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Tracey Lee Cherry , PT

Specialist β€’ Palm Bay, FL

Active NPI 1306948005 Individual Practitioner Female Practitioner
Practice location in NPPES

1418 Glendale Ave Nw
Palm Bay, FL 329078011

Call 2145480811 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1418 Glendale Ave Nw

Palm Bay, FL 329078011

Telephone 2145480811
Fax 2145480811
Organization at the Same NPPES Address or Phone
Cherry Physical Therapy, Inc. Facility NPI 1760229629

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Palm Bay and Florida

5 active clinicians are listed under Specialist with a practice address in Palm Bay, FL (2,695 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-12-08
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

License # reported to NPPES FL PT35799

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location December 08, 2025

Registered at 1418 GLENDALE AVE NW, PALM BAY, FL 329078011 (Tel: 2145480811)

πŸ“
Updated Business Mailing Address December 08, 2025

Registered at 1418 GLENDALE AVE NW, PALM BAY, FL 329078011 (Tel: 2145480811)

πŸ‘€
Provider Name / Credentials Updated December 08, 2025

Recorded as TRACEY CHERRY, PT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2025

Specialist (license number reported to NPPES: FL PT35799)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 3260 KEITH BRIDGE RD, 220, CUMMING, GA 300413937 (Tel: 7708866282)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 3260 KEITH BRIDGE RD, 220, CUMMING, GA 300413937 (Tel: 7708866282)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as TRACEY RAITH, PT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (license number reported to NPPES: GA PT004372)

🟒
Initial NPI Registration & Enumeration September 02, 2006

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1306948005
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 02, 2006
Last Update: December 08, 2025
Sole Proprietor: No

Mailing Address

1418 Glendale Ave Nw

Palm Bay, FL 329078011

Phone: 2145480811

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.