Individual provider Active NPI

Meredith Mackenzie Defranco, D.P.T.

  • Physical Therapist
  • Jupiter, FL
National Provider Identifier
1235368028
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT24805 Issued in FL
Practice address
50 S Old Dixie Hwy
Suite 1a
Jupiter, FL 33458-3570
Phone
(561) 575-4770
Fax
(561) 575-4522
NPI assigned
Jul 14, 2009
Last updated
Jul 14, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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 PT24805 FL Primary

Addresses

Primary practice location

50 S Old Dixie Hwy
Suite 1a
Jupiter, FL 33458-3570

Mailing address

50 S Old Dixie Hwy
Suite 1a
Jupiter, FL 33458-3570
Phone (561) 575-4770

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200901001847 FL Practitioner - Physical Therapist in Private Practice 1153748421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Potentia Therapeutics, LLCGroup PAC ID 6103181888, 17 clinicians

Practice addresses (Care Compare)

2307 S Dale Mabry Hwy
Suite F
Tampa, FL 33629-6322
Phone (813) 374-9508

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT24805FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Potentia Therapeutics, LLC Physical Therapist CurrentSince May 19, 2020 Accepting new patients
Comprehensive Hand & Physical Physical Therapist Past Accepting new patients
Comprehensive Hand & Physical Past Accepting new patients

Locations

2307 S Dale Mabry Hwy
Ste F
Tampa, FL 33629
Phone (415) 533-4863

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1235368028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S OLD DIXIE HWY",
            "address_2": "SUITE 1A",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583570",
            "telephone_number": "561-575-4770",
            "fax_number": "561-575-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S OLD DIXIE HWY",
            "address_2": "SUITE 1A",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583570",
            "telephone_number": "561-575-4770",
            "fax_number": "561-575-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFRANCO",
        "first_name": "MEREDITH",
        "middle_name": "MACKENZIE",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.