Active NPI
Stefani Mejia, PT, DPT
- Physical Medicine & Rehabilitation Physician
- Orange Park, FL
National Provider Identifier
1821745472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- PT38398
- Practice address
- 2140 Kingsley Ave Ste 5
Orange Park, FL 32073-5129 - Phone
- (904) 272-2830
- Fax
- (904) 272-8814
- NPI assigned
- Mar 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PT38398 | FL | Primary |
Addresses
Primary practice location
2140 Kingsley Ave Ste 5
Orange Park, FL 32073-5129
Mailing address
8141 Kilwinning LN
Jacksonville, FL 32244-5517
Phone (904) 504-2499
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | preferredphysicaltherapypt.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1248 Kingsley Ave
Orange Park, FL 32073-4699
Phone (800) 380-9153
1297 US Hwy 27 N
Lake Placid, FL 33852-7907
Phone (800) 380-9153
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT38398 | FL | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ap Therapy LLC | Current | Accepting new patients | |
| Ap Therapy LLC | Current | Accepting new patients |
Locations
1297 US Highway 27 N
Lake Placid, FL 33852
Phone (407) 276-5023
Organizations & group practices 2
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 Therapist
- League City, TX
- NPI 1821823717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662681600000",
"number": "1821745472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8141 KILWINNING LN",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322445517",
"telephone_number": "904-504-2499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 KINGSLEY AVE STE 5",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735129",
"telephone_number": "904-272-2830",
"fax_number": "904-272-8814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEJIA",
"first_name": "STEFANI",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-03",
"last_updated": "2022-09-09",
"certification_date": "2022-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "FL",
"license": "PT38398",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "preferredphysicaltherapypt.com",
"affiliation": "N",
"endpointDescription": "website",
"address_1": "2140 Kingsley Ave Ste 5",
"city": "Orange Park",
"state": "FL",
"country_code": "US",
"postal_code": "320735129",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.