CLAIRE MELLEMA (DPT) – Physical Therapist, NPI 1225810070

CLAIRE MELLEMA (DPT) is a healthcare provider. based in Mansfield, Ohio. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT020769 (OH). The NPI Number for CLAIRE MELLEMA (DPT) is 1225810070

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
CLAIRE MELLEMA (DPT)
NPI
1225810070
Phone
(419) 515-3837
Address
630 LEXINGTON AVE
Enumeration Date
17 October 2023
Last Update Date
17 October 2023

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Secondary Phone
3308049712
Graduation Year
2023 (3 years ago)
PAC ID
4082155635
Group Practice PAC ID
6204733355
Professional Enrollment ID
I20240923001820
Address ID
OH446917130WO3373XPKWY302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,243 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OH

Provider Addresses for CLAIRE MELLEMA (DPT)

  • 630 LEXINGTON AVE

    MANSFIELD, OH 449071500

    Phone: (419) 515-3837

    Type: Location

  • 291 1/2 LEE AVE

    ASHLAND, OH 448052730

    Phone:

    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: 2024-09-23

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
I20240923001820IPhysical Therapist In Private PracticeOHTBD

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 44907)

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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: 6204733355View full group profile
NameSpecialtyState
-OH
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeOH
-OH
Physical Therapist In Private PracticeOH
-OH
-OH
Physical Therapist In Private PracticeOH

Reviews

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Frequently asked questions

What federal number belongs to CLAIRE MELLEMA (DPT)?
The federal identifier for CLAIRE MELLEMA (DPT) is NPI 1225810070.
Does this profile mean CLAIRE MELLEMA (DPT) is currently active?
Yes — CLAIRE MELLEMA (DPT) appears active in the national provider directory.
What field does CLAIRE MELLEMA (DPT) work in?
You can think of CLAIRE MELLEMA (DPT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Does CLAIRE MELLEMA (DPT) practice in Ohio?
You will see Mansfield, Ohio on file for CLAIRE MELLEMA (DPT) alongside any extra practice locations.
Is CLAIRE MELLEMA (DPT) a real provider?
This page reflects official NPPES data for NPI 1225810070. Always confirm identity and privileges with the practice and licensing boards.

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