Falon Melissa Jimenez Irwin, PT, DPT, CSCS
Individual provider Active NPI Physical Therapist · The Villages, FL
NPI 1306439617 · NPPES record last updated Dec 20, 2022
Key facts
- NPI
- 1306439617
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 39506 (FL)
- Practice address
- 2963 Traverse TRL
The Villages, FL 32163-2017 - Phone
- (352) 254-3376
- NPI assigned
- Feb 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39506 | FL | MD | Physical Therapist |
| 40QA01993100 | NJ | MD | Physical Therapist |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 40QA01993100 | NJ | |
| Physical Therapist | 225100000X | 39506 | FL | Yes |
Addresses
Primary practice location
2963 Traverse TRL
The Villages, FL 32163-2017
Mailing address
1701 New Rd
Northfield, NJ 08225-1197
Phone (609) 867-9353
Other practice location 1
1701 New Rd
Northfield, NJ 08225-1197
Phone (609) 272-1150
Other providers in The Villages, FL
- Sharon McKinney Jaquith
- Hamsa Patricia Jayaraj
- Tara Maria Jennings Irwin
- Jet Maids Inc
- Timothy D Jetton
- John a Giglio DO PA
- John C Theeck DC PA
- John H Kuzman MD PA
- Dawn Johnson
- Lela C Johnson
All providers in The Villages, FL · Physical Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.