Active NPI
Jared D Mearida, MPT
- Physical Therapist
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 309906
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 309906 | CA | MD | Physical Therapist |
| 070018542 | IL | MD | Physical Therapist |
| P21912 | NC | MD | Physical Therapist |
| 1407570 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of NC, LLC | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Benchmark Physical Therapy of North Carolina LLC | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC | Current | 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.
-
- Physical Therapy Clinic/Center
- Los Gatos, CA
- NPI 1417619008
-
- Physical Therapist
- Clinton, IL
- NPI 1376917187
-
- Physical Therapist
- Glen Allen, VA
- NPI 1457389595
-
- Physical Therapist
- Leland, NC
- NPI 1588189112
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1215637699
-
- Physical Therapist
- Roanoke, VA
- NPI 1437664356
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.