Individual provider Active NPI

Melanie Devarona, PT, DPT

  • Physical Therapist
  • Jacksonville Beach, FL
National Provider Identifier
1841063252
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT40868 Issued in FL
Practice address
1400 Marsh Landing Pkwy Ste 112
Jacksonville Beach, FL 32250-2492
Phone
(904) 280-2001
NPI assigned
Nov 7, 2023
Last updated
Nov 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT40868 FL Primary

Addresses

Primary practice location

1400 Marsh Landing Pkwy Ste 112
Jacksonville Beach, FL 32250-2492

Mailing address

3709 San Pablo Rd S Apt 2104
Jacksonville, FL 32224-4829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231205004021 FL Practitioner - Physical Therapist in Private Practice 5496104234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Motion RX Health and Performance PLLCGroup PAC ID 2860831070, 3 clinicians

Practice addresses (Care Compare)

7901 Baymeadows Way
Suite 5
Jacksonville, FL 32256-8535
Phone (904) 414-3796

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Motion RX Health and Performance PLLC Physical Therapist CurrentSince Nov 1, 2024 Accepting new patients
John Goetze Physical Therapy, Inc Physical Therapist CurrentSince Nov 2, 2023 Accepting new patients

Locations

7855 Argyle Forest Blvd
Ste 504
Jacksonville, FL 32244
Phone (904) 387-0006

7901 Baymeadows Way
Ste 5
Jacksonville, FL 32256
Phone (904) 414-3796

1400 Marsh Landing Pkwy
Ste 112
Jax Bch, FL 32250
Phone (904) 249-2100

534 S 5th St
Macclenny, FL 32063
Phone (904) 259-1649

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1841063252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 SAN PABLO RD S APT 2104",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322244829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MARSH LANDING PKWY STE 112",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322502492",
            "telephone_number": "904-280-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVARONA",
        "first_name": "MELANIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT40868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.