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Search › Virginia › 225200000X

Jacob Melvin, PTA

NPI 1841182581 · on the registry since 2025 · sole proprietor

Practice

Address
10521 Rosehaven St Ste Ll150
Fairfax, VA 22030
Phone
(703) 383-1616
Fax
(703) 383-1166
Organisation at this address
Progenix Llc
H3 Nutrition, Llc
Excel Rehabilitation, Pllc
Child & Family Counseling Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
24

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia