Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Melanie K Peavy, MPTBSN

Individual provider Physical Therapist · NPI 1063565257

Melanie K Peavy, MPTBSN is a Physical Therapist in Private Practice in Jacksonville, Florida. Qualified in 1998, 28 years ago. Practices with Southwest Georgia Rehab, Inc, a 22-clinician group and accepts Medicare assignment. Licensed in Florida and Georgia.

Years since qualifying
28
Licensed in
FL, GA
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT17708 (FL)
Physical Therapist Taxonomy 225100000X · Licence PT006201 (GA)

Record details

NPI number1063565257
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPTBSN
Sole proprietorNo
NPI enumeratedJanuary 19, 2007
Last updated in NPPESFebruary 19, 2024
Certification dateFebruary 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Southwest Georgia Rehab, Inc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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