Individual
JACOB MELVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10521 ROSEHAVEN ST STE LL150, FAIRFAX, VA 22030-2889
(703) 383-1616
(703) 383-1166
Mailing address
10521 ROSEHAVEN ST STE LL150, FAIRFAX, VA 22030-2889
(703) 383-1616
(703) 383-1166
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306606772
VA
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us