Individual provider Active NPI

Jared D Mearida, MPT

  • Physical Therapist
  • Santa Rosa, CA
National Provider Identifier
1407144397
Registry record updated Apr 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
309906 Issued in CA
Practice address
320 Tesconi Cir Ste G
Santa Rosa, CA 95401-4611
Phone
(707) 544-2637
NPI assigned
Jul 13, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1407570 TX
Physical Therapist 225100000X 15522 TN
Physical Therapist 225100000X P21912 NC
Physical Therapist 225100000X 070018542 IL
Physical Therapist 225100000X 2305216890 VA
Physical Therapist 225100000X 309906 CA Primary

Addresses

Primary practice location

320 Tesconi Cir Ste G
Santa Rosa, CA 95401-4611

Mailing address

223 Palacio St
Irving, TX 75039-4210
Phone (309) 825-0319

Other practice location 1

146 Mooresville Commons Way Ste 5E
Mooresville, NC 28117-8938
Phone (980) 444-0906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NC, VA, CA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20111020000234 IL Practitioner - Physical Therapist in Private Practice 2062684897 Reassigns benefits to 1 organization
I20240709000311 NC Practitioner - Physical Therapist in Private Practice 2062684897 Reassigns benefits to 1 organization
I20250212000450 VA Practitioner - Physical Therapist in Private Practice 2062684897 Reassigns benefits to 1 organization
I20260615001971 CA Practitioner - Physical Therapist in Private Practice 2062684897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Select Cal Physical Therapy PCGroup PAC ID 4789070699, 162 clinicians

Practice addresses (Care Compare)

1470 Civic CT
Suite 320
Concord, CA 94520-5230
Phone (925) 326-2211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
309906CAMDPhysical Therapist
070018542ILMDPhysical Therapist
P21912NCMDPhysical Therapist
1407570TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path Physical Therapist CurrentSince Sep 8, 2017 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Jan 10, 2025 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Apr 29, 2024 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Jan 10, 2025 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Apr 29, 2024 Accepting new patients
Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC CurrentSince Sep 8, 2017 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

204 E Washington St
Clinton, IL 61727
Phone (217) 570-0225

5255 E Maryland St
Decatur, IL 62521
Phone (217) 864-1264

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

146 Mooresville Commons Way
Ste 5E
Mooresville, NC 28117
Phone (980) 444-0906

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

12494 Warwick Blvd
Newport News, VA 23606
Phone (804) 217-9210

2033 Colonial Ave SW
Ste 138
Roanoke, VA 24015
Phone (540) 466-3981

1441 W Main St
Salem, VA 24153
Phone (540) 346-1328

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775347200000",
    "number": "1407144397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 PALACIO ST",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750394210",
            "telephone_number": "309-825-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 TESCONI CIR STE G",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014611",
            "telephone_number": "707-544-2637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "146 Mooresville Commons Way Ste 5E",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281178938",
            "country_code": "US",
            "telephone_number": "980-444-0906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEARIDA",
        "first_name": "JARED",
        "middle_name": "D",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-13",
        "last_updated": "2026-04-05",
        "certification_date": "2026-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1407570",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "15522",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P21912",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070018542",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216890",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "309906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.