Michael Meldrum

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT36680 Issued in FL

Practice address

9560 Crosshill Blvd
Jacksonville, FL 32222-5850

Phone

(904) 203-1296

NPI assigned

Mar 4, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1285229906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9560 CROSSHILL BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322225850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9560 CROSSHILL BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322225850",
            "telephone_number": "904-203-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELDRUM",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-04",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idania Mejias-Rodriguez, M.D.
• Arianna De la Caridad Mejias
• Kaitlyn Melamed
• Melchor M Carbonell, MD, PA
• Jaclyn Tyo Meldrum, PA-C
• Cheryl A. Mele, APRN
• Kandie Ayana Melendez-Ortez
• Luis Melendez, CFA
• Shajitha Melethil, M.B.B.S.
• Melissa Brown LMHC LLC

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.