Individual provider Active NPI

Melinda Oxenford, PT, DPT

  • Physical Therapist
  • Augusta, GA
National Provider Identifier
1053480319
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008362 Issued in GA
Practice address
3626 Walton Way Ext
Suite D
Augusta, GA 30909-6421
Phone
(706) 854-9850
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT008362 GA Primary

Addresses

Primary practice location

3626 Walton Way Ext
Suite D
Augusta, GA 30909-6421

Mailing address

1866 Long Creek FLS
Grovetown, GA 30813-5823
Phone (706) 869-8982

Other identifiers 1

IdentifierTypeStateIssuer
PT008362OtherGASTATE LISC NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231228000980 IA Practitioner - Physical Therapist in Private Practice 4385816537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jason E Meyer Physical Therapy PCGroup PAC ID 8325136617, 15 clinicians

Practice addresses (Care Compare)

2300 John F Kennedy Rd
Suite 1
Dubuque, IA 52002-2843
Phone (563) 588-3891

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT008362GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jason E Meyer Physical Therapy PC CurrentSince Jan 2, 2024 Accepting new patients
Dubuque Pediatric Therapies Physical Therapist Past Accepting new patients
Accelerated Rehabilitation Centers LTD Physical Therapist Past Accepting new patients

Locations

2300 John F Kennedy Rd
Dubuque, IA 52002
Phone (563) 588-3891

2300 John F Kennedy Rd
Ste 1
Dubuque, IA 52002
Phone (563) 588-3891

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053480319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1866 LONG CREEK FLS",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308135823",
            "telephone_number": "706-869-8982",
            "fax_number": "706-869-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 WALTON WAY EXT",
            "address_2": "SUITE D",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096421",
            "telephone_number": "706-854-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OXENFORD",
        "first_name": "MELINDA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LISC NUMBER",
            "identifier": "PT008362",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.