Jenna Anne Mlecko, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

309506 Issued in CA

Practice address

2818 Santa Monica Blvd
Santa Monica, CA 90404-2410

Phone

(424) 272-9589

NPI assigned

Jan 26, 2026

Last updated

Jan 26, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Balance Lab Physical Therapy and Fitness PCGroup PAC ID 7315200797, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• The Balance Lab Physical Therapy and Fitness PC

  • Physical Therapist
  • Santa Monica, CA
  • NPI 1215435847
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1769385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1184573719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 EDGEWORTH LN",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 SANTA MONICA BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042410",
            "telephone_number": "424-272-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MLECKO",
        "first_name": "JENNA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-26",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "309506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Mitra
• Amelia L Mittleman, PA-C
• Miriam Mivehkar, CNM, WHNP
• Janice Kimi Miyakawa, M.D.
• Courtney Tamiko Mizuhara-Cheng, DO
• MM Orthopaedics Corporation (MM Orthopaedics)
• M Ramin Modabber, M.D.
• Jonathan Modai, MD
• Linda Modaro, L.AC.
• Modern Core Physical Therapy and Wellness (Modern Core Health and Wellness)

• Physical Therapist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; 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.