MELINA PULOS – Physical Therapist, NPI 1417767989

MELINA PULOS is a healthcare provider. based in Bradenton, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PTT42683 (FL). The NPI Number for MELINA PULOS is 1417767989

Main info

Female
2 Years Of Experience
Name
MELINA PULOS
NPI
1417767989
Phone
(262) 443-9325
Address
16907 1ST AVE E
Enumeration Date
8 January 2025
Last Update Date
17 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9414178300
Graduation Year
2024 (2 years ago)
PAC ID
0840710422
Group Practice PAC ID
8022310333
Professional Enrollment ID
I20250226001576
Address ID
FL342023719BR5860XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for MELINA PULOS

  • 16907 1ST AVE E

    BRADENTON, FL 342125606

    Phone: (262) 443-9325

    Type: Mailing

  • 5860 RANCH LAKE BLVD STE 102

    BRADENTON, FL 342023719

    Phone: (941) 417-8300

    Type: Location

  • 1841 E SUMMIT ST

    CROWN POINT, IN 463072768

    Phone: (219) 801-7777

    Fax: (219) 801-7677

    Type: Mailing

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: 2025-02-26

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
I20250226001576IPhysical Therapist In Private PracticeFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34212)

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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: 8022310333View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

What unique ID ties claims to MELINA PULOS?
NPI 1417767989 is assigned to MELINA PULOS under the national enumeration system.
Is MELINA PULOS's NPI currently valid?
The extract we use shows MELINA PULOS as active.
What field does MELINA PULOS work in?
You can think of MELINA PULOS as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location metadata exists for MELINA PULOS?
The page summarizes Bradenton, Florida for MELINA PULOS; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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