Ms Melinda C Broadstone, OT, MT, CLT is a
Occupational Therapist based in Fort Walton Beach, Florida. Ms Melinda C Broadstone is licensed to practice in Florida (license number OT9352) and her current practice location is
61 Ferry Rd Ne, Fort Walton Beach, Florida. She can be reached at her office (for appointments etc.) via phone at
(850) 217-3096.
NPI number for Ms Melinda C Broadstone is 1396076352 and her current mailing address is Po Box 2472, Fort Walton Beach, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396076352.
Healthcare Provider's Profile
| Full Name | Ms Melinda C Broadstone |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 61 Ferry Rd Ne, Fort Walton Beach, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1396076352
- Provider Enumeration Date: 01/14/2010
- Last Update Date: 01/14/2010
Medical Identifiers
Medical identifiers for Ms Melinda C Broadstone such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396076352 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | MA32767 (Florida) | Secondary |
| 225X00000X | Occupational Therapist | OT9352 (Florida) | Primary |
| 225XG0600X | Occupational Therapist - Gerontology | OT9352 (Florida) | Secondary |
| 225XN1300X | Occupational Therapist - Neurorehabilitation | OT9352 (Florida) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | OT9352 (Florida) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Melinda C Broadstone is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Melinda C Broadstone, OT, MT, CLT
Po Box 2472,
Fort Walton Beach, FL 32549-2472
Ph: (850) 217-3096 | Ms Melinda C Broadstone, OT, MT, CLT
61 Ferry Rd Ne,
Fort Walton Beach, FL 32548-5170
Ph: (850) 217-3096 |
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