Stephanie Menichella, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT31272 Issued in FL

Practice address

3003 Claire LN
Jacksonville, FL 32223-6665

Phone

(718) 644-8365

NPI assigned

May 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oakleaf Family ChiropracticGroup PAC ID 0840485884, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Oakleaf Family Chiropractic

  • Chiropractor
  • Jacksonville, FL
  • NPI 1144538349

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1841404191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 CLAIRE LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322236665",
            "telephone_number": "718-644-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 CLAIRE LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322236665",
            "telephone_number": "718-644-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENICHELLA",
        "first_name": "STEPHANIE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT31272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Menendez, PHARMD
• Manuel Jeronimo Menendez, MD
• Manuel Menes, MD
• Huibin Meng
• Paereak Meng, PTA
• David Menke, MD
• Divya Menon, PA-C
• Sunitha Menon, APRN
• Menrx Surgical, LLC
• Mens Mental Health

• Physical Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.