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

MS. Melinda C Broadstone, OT, MT, CLT

Individual provider Massage Therapist · NPI 1396076352

MS. Melinda C Broadstone, OT, MT, CLT is a Massage Therapist in Fort Walton Beach, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2010
Specialties on file
5
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.
MT — Medical Technologist
Performs laboratory testing on clinical specimens.

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Practice location Address checks out

61 Ferry Rd NE
Fort Walton Beach, FL 32548-5170
Phone: (850) 217-3096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT9352 (FL)
Massage Therapist Taxonomy 225700000X · Licence MA32767 (FL)
Gerontology Occupational Therapist Taxonomy 225XG0600X · Licence OT9352 (FL)
Neurorehabilitation Occupational Therapist Taxonomy 225XN1300X · Licence OT9352 (FL)
Pediatric Occupational Therapist Taxonomy 225XP0200X · Licence OT9352 (FL)

Record details

NPI number1396076352
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT , MT , CLT
Sole proprietorYes
NPI enumeratedJanuary 14, 2010
Last updated in NPPESJanuary 14, 2010

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