Active NPIIndividual provider

Stacey Melo, DPT, PT

Physical Therapist in Tewksbury, Massachusetts

NPI Number1861040040
Practice location
1830 Main St Apt 1, Tewksbury, MA 01876-4712
Fax
978-710-6879
Last updated
March 25, 2024

Stacey Melo is a Physical Therapist based in Tewksbury, MA. Stacey Melo practices in Tewksbury, MA and has the professional credentials of DPT, PT. The NPI Number for Stacey Melo is 1861040040 and holds a License No. 24405 (MA). The current practice location address for Stacey Melo is 1830 Main St Apt 1, Tewksbury, MA 01876-4712 and can be reached out via phone at 978-710-6254 and via fax at 978-710-6879.

Provider Profile Details

NPI Number
1861040040
Provider Name
Stacey Melo
Credential
DPT, PT
Provider Entity Type
Individual
Gender
Female
Address
1830 Main St Apt 1, Tewksbury, MA 01876-4712
Phone Number
978-710-6254
Fax Number
978-710-6879
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Other Names
Stacey Sousa (Former Name)
Provider Enumeration Date
August 30, 2019
Last Update Date
March 25, 2024
Certification Date
March 25, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1830 Main St Apt 1
Tewksbury, MA 01876-4712
Zip
01876-4712
Phone Number
978-710-6254
Fax Number
978-710-6879
Tewksbury, MA 01876Get directions →

Provider Business Mailing Address Details

Address
703 Granite St Ste 3
Braintree, MA 02184-5350
City
Braintree
State
MA
Zip
02184-5350
Phone Number
781-961-3370
Fax Number
781-961-1291

License Information

License Number
24405
License State
MA
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stacey Melo, DPT, PT?

The NPI number of Stacey Melo, DPT, PT is 1861040040. It was assigned on August 30, 2019 and is currently active in the NPPES registry.

What is the specialty of Stacey Melo, DPT, PT?

Stacey Melo, DPT, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in MA under license number 24405.

Where does Stacey Melo, DPT, PT practice?

The practice location is 1830 Main St Apt 1, Tewksbury, MA 01876-4712. The office can be reached at 978-710-6254 (phone) or 978-710-6879 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1861040040 directly on the NPPES registry website.

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