MICHELLE MCDONALD
NPI 1790965002
Developmental Therapist in Jacksonville, FL

Active since November 05, 2007Accepts Medicare Assignment
3839 ROBENA RD, JACKSONVILLE, FL 32218(336) 601-3905 Get Directions Write a Review

NPPES record last updated: July 26, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Michelle Mcdonald NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE MCDONALD (NPI 1790965002) is an individual developmental therapist in Jacksonville, Florida and active in the NPI registry since November 2007. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1790965002
Entity TypeIndividualFemale
Primary Taxonomy222Q00000X
Provider Legal NameMICHELLE MCDONALD
Location Address3839 ROBENA RDJacksonville, FL 32218-7582
Mailing Address3839 Robena RdJacksonville, FL 32218-7582 · (336) 601-3905
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 5, 2007
Last NPPES UpdateJuly 26, 2013
✔ NPI 1790965002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDevelopmental TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Q00000X
Definition
A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development.
3839 ROBENA RD, Jacksonville, FL 32218

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle Mcdonald is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830590728
PECOS Enrollment IDI20210707003897

Medicare Billing Reassignment

Medicare enrollment records show Michelle Mcdonald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapy
2901 W BUSCH BLVD STE 407
Tampa, FL 33618
  • Reassigned Medicare billing, Florida enrollment
  • 36 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Mcdonald's NPI number?

The NPI number for Michelle Mcdonald is 1790965002. It was assigned to this individual provider in the NPPES registry on November 5, 2007.

Where is Michelle Mcdonald located?

Michelle Mcdonald practices at 3839 Robena Rd, Jacksonville, FL 32218. The listed phone number is (336) 601-3905.

What is Michelle Mcdonald's specialty?

The primary specialty registered for this NPI is Developmental Therapist with taxonomy code 222Q00000X.

Is Michelle Mcdonald enrolled in Medicare?

Yes. Michelle Mcdonald is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Michelle Mcdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Mcdonald reassigns Medicare benefits to Dah Therapies LLC (Tampa, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Mcdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michelle Mcdonald was last updated on July 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.