MELISSA SUE WOOD (PT, DPT, MTC) – Physical Therapist, NPI 1053546481

MELISSA SUE WOOD (PT, DPT, MTC) is a healthcare provider. based in Saint augustine, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT, MTC. They hold a License No. PT22892 (FL). The NPI Number for MELISSA SUE WOOD (PT, DPT, MTC) is 1053546481

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA SUE WOOD (PT, DPT, MTC)
NPI
1053546481
Phone
(904) 217-4259
Address
105 MARINER HEALTH WAY STE 213
Enumeration Date
29 May 2009
Last Update Date
29 November 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2696879594
Graduation Year
2006 (20 years ago)
PAC ID
6305105396
Group Practice PAC ID
3870546922
Professional Enrollment ID
I20181121002372
Address ID
MI491201626NI1100XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for MELISSA SUE WOOD (PT, DPT, MTC)

  • 105 MARINER HEALTH WAY STE 213

    SAINT AUGUSTINE, FL 320863251

    Phone: (904) 217-4259

    Fax: (904) 217-4251

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-11-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181121002372IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,01923$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes70222$0
97530Therapy procedure using functional activities7223$0
97161Evaluation for physical therapy, typically 20 minutes1613$0
View full utilization report →

Insurance plans in this area (ZIP 32086)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870546922View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMI

Reviews

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Frequently asked questions

What federal number belongs to MELISSA SUE WOOD (PT, DPT, MTC)?
The federal identifier for MELISSA SUE WOOD (PT, DPT, MTC) is NPI 1053546481.
Does this profile mean MELISSA SUE WOOD (PT, DPT, MTC) is currently active?
Yes — MELISSA SUE WOOD (PT, DPT, MTC) appears active in the national provider directory.
Does MELISSA SUE WOOD (PT, DPT, MTC) list a primary specialty?
If you are matching referrals, note Physical Therapist for MELISSA SUE WOOD (PT, DPT, MTC). Clinical services aligned with this taxonomy classification.
What location shows for MELISSA SUE WOOD (PT, DPT, MTC)?
We surface Saint Augustine, Florida for MELISSA SUE WOOD (PT, DPT, MTC) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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