MS. MELISSA RUTH CHURCH (P.T.) – Physical Therapist, NPI 1376632398

MS. MELISSA RUTH CHURCH (P.T.) is a healthcare provider. based in Overland park, Kansas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. 11-02715 (KS). The NPI Number for MS. MELISSA RUTH CHURCH (P.T.) is 1376632398

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MS. MELISSA RUTH CHURCH (P.T.)
NPI
1376632398
Phone
(913) 897-1100
Address
15100 METCALF AVE
Enumeration Date
11 October 2006
Last Update Date
24 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8164748877
Graduation Year
1998 (28 years ago)
PAC ID
4981199346
Group Practice PAC ID
1850370453
Professional Enrollment ID
I20251223001574
Address ID
KS662262255SH5600XTERX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:19State licenses:1Digital endpointsOther names

1,046 PHYSICAL THERAPIST IN PRIVATE PRACTICE in KS

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Provider Addresses for MS. MELISSA RUTH CHURCH (P.T.)

  • 15100, Metcalf Avenue, Stanley, Overland Park, Johnson County, Kansas, 66223, United States

    SUITE102

    OVERLAND PARK, KS 662232808

    Phone: (913) 897-1100

    Fax: (913) 897-9696

    Type: Mailing

  • 11940 W 119TH ST

    OVERLAND PARK, KS 662132216

    Phone: (913) 563-5500

    Fax: (913) 563-5174

    Type: Mailing

  • 11940 W 119TH ST STE 102

    OVERLAND PARK, KS 662132216

    Phone: (913) 563-5500

    Fax: (913) 563-5174

    Type: Location

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: 2025-12-23

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
I20251223001574IPhysical Therapist In Private PracticeKSTBD

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 66223)

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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: 1850370453View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeKS
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeTN
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeKS
Physical Therapist In Private PracticeOK
Physical Therapist In Private PracticeMO

Reviews

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Frequently asked questions

What is the registry number for MS. MELISSA RUTH CHURCH (P.T.)?
The registry entry for MS. MELISSA RUTH CHURCH (P.T.) shows NPI 1376632398.
Does the public listing show MS. MELISSA RUTH CHURCH (P.T.) as active?
MS. MELISSA RUTH CHURCH (P.T.)'s NPI record reflects an active status in NPPES.
What type of care does MS. MELISSA RUTH CHURCH (P.T.) provide?
MS. MELISSA RUTH CHURCH (P.T.)'s profile centers on Physical Therapist. Clinical services aligned with this taxonomy classification.
Which community is linked to MS. MELISSA RUTH CHURCH (P.T.)?
MS. MELISSA RUTH CHURCH (P.T.) shows a connection to Overland Park, Kansas in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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