Falon Melissa Jimenez Irwin, PT, DPT, CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

39506 Issued in FL

Practice address

2963 Traverse TRL
The Villages, FL 32163-2017

Phone

(352) 254-3376

NPI assigned

Feb 17, 2021

Last updated

Dec 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1306439617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 NEW RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082251197",
            "telephone_number": "609-867-9353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2963 TRAVERSE TRL",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321632017",
            "telephone_number": "352-254-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 New Rd",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "NJ",
            "postal_code": "082251197",
            "country_code": "US",
            "telephone_number": "609-272-1150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ IRWIN",
        "first_name": "FALON",
        "middle_name": "MELISSA",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01993100",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "39506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon McKinney Jaquith, APN
• Hamsa Patricia Jayaraj, MD
• Tara Maria Jennings Irwin, PTA
• Jet Maids Inc
• Timothy D Jetton, M.D.
• John a Giglio DO PA
• John C Theeck DC PA (Legacy Clinic of Chiropractic)
• John H Kuzman MD PA
• Dawn Johnson
• Lela C Johnson, M.D.

• Physical Therapist in The Villages, FL
• Providers in The Villages, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.