MELISSA A WALLACE (PT) – Physical Therapist, NPI 1275545964

MELISSA A WALLACE (PT) is a healthcare provider. based in Avon, Ohio. specializing in Physical Therapist. They hold the professional credentials PT. They hold a License No. PT-8782 (OH). The NPI Number for MELISSA A WALLACE (PT) is 1275545964

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA A WALLACE (PT)
NPI
1275545964
Phone
(440) 934-8184
Address
1502 TRAVELERS PT
Enumeration Date
12 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4408921440
Graduation Year
1999 (27 years ago)
PAC ID
1850314683
Group Practice PAC ID
8123915840
Professional Enrollment ID
I20060109000040
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MELISSA A WALLACE (PT)

  • 1502 TRAVELERS PT

    AVON, OH 440114046

    Phone: (440) 934-8184

    Fax: (440) 934-8186

    Type: Location

  • 23825, Commerce Park, Beachwood, Cuyahoga County, Ohio, 44122, United States

    SUITE B

    BEACHWOOD, OH 441225837

    Phone: (216) 292-6363

    Fax: (216) 292-6306

    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.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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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 44011)

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Provider's Procedures

MELISSA A WALLACE (PT) performs procedures in Physical Therapist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYOH97110Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1101154
PHYSICAL THERAPYOH97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes571115

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: 8123915840View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOH
Internal MedicineOH
Occupational Therapist In Private PracticeOH
Orthopedic SurgeryOH
Occupational Therapist In Private PracticeOH
Hand Surgery, Orthopedic SurgeryOH
-OH
Orthopedic SurgeryOH
Physical Therapist In Private PracticeOH
-OH

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Frequently asked questions

Is MELISSA A WALLACE (PT) listed with a National Provider Identifier?
Yes — MELISSA A WALLACE (PT) has NPI 1275545964 on file in the registry.
Is MELISSA A WALLACE (PT) shown as active in public data?
Registry records indicate MELISSA A WALLACE (PT) maintains an active NPI.
What clinical focus is listed for MELISSA A WALLACE (PT)?
At a glance, MELISSA A WALLACE (PT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is MELISSA A WALLACE (PT) located near Avon?
MELISSA A WALLACE (PT) currently maps to Avon, Ohio in this extract.
Can I trust this NPI listing for MELISSA A WALLACE (PT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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