Healthcare Provider Details

I. General information

NPI: 1679425672
Provider Name (Legal Business Name): MELANIE JEAN PROULX DPT, PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 HOSPITAL CENTER BLVD STE 250
HILTON HEAD ISLAND SC
29926-8702
US

IV. Provider business mailing address

306 CIPRIANI WAY
NORTH VENICE FL
34275-6769
US

V. Phone/Fax

Practice location:
  • Phone: 843-671-4372
  • Fax: 843-671-7343
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number13374
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number44357
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: