MELANIE K PEAVY (MPT BSN) – Physical Therapist, NPI 1063565257

MELANIE K PEAVY (MPT BSN) is a healthcare provider. based in Jacksonville, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MPT BSN. They hold a License No. PT006201 (GA). The NPI Number for MELANIE K PEAVY (MPT BSN) is 1063565257

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MELANIE K PEAVY (MPT BSN)
NPI
1063565257
Phone
(904) 953-2000
Address
4500 SAN PABLO RD S
Enumeration Date
19 January 2007
Last Update Date
19 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2292739445
Graduation Year
1998 (28 years ago)
PAC ID
3971674532
Group Practice PAC ID
6204966740
Professional Enrollment ID
I20080625000551
Address ID
GA310151921CO1107XSTXX301

Contacts

Secure Messaging
mpeavy391658@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

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Provider Addresses for MELANIE K PEAVY (MPT BSN)

  • San Pablo Road South, San Pablo, Jacksonville, Duval County, Florida, 32224, United States

    JACKSONVILLE, FL 322241865

    Phone: (904) 953-2000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-06-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080625000551IPhysical Therapist In Private PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes39574$0
97162Evaluation for physical therapy, typically 30 minutes4343$0
97140Therapy procedure using manual technique, each 15 minutes3513$0
View full utilization report →

Insurance plans in this area (ZIP 32224)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204966740View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Occupational Therapist In Private PracticeGA
-GA
Physical Therapist In Private PracticeGA
Occupational Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Occupational Therapist In Private PracticeTX

Reviews

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Frequently asked questions

Can I use this page to confirm MELANIE K PEAVY (MPT BSN)'s NPI?
Yes. MELANIE K PEAVY (MPT BSN) is listed with NPI 1063565257 in the public NPI dataset.
Does CMS list MELANIE K PEAVY (MPT BSN) as active?
Yes — MELANIE K PEAVY (MPT BSN) is active in the NPI listing used on this page.
What healthcare role does MELANIE K PEAVY (MPT BSN) hold?
Scheduling teams often label MELANIE K PEAVY (MPT BSN) under Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for MELANIE K PEAVY (MPT BSN)?
MELANIE K PEAVY (MPT BSN)'s geographic hint is Jacksonville, Florida in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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