MR. MARK W MELECKI (PT) – Physical Therapist, NPI 1013128743
Physical Therapist
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Profile Insights
NPPES metrics only — not quality of care.
1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR
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Provider Addresses for MR. MARK W MELECKI (PT)
Northwest Therapy, 12119, Southeast Stevens Court, Happy Valley, Metro, Clackamas County, Oregon, 97086, United States
HAPPY VALLEY, OR 970862620
Phone: (503) 353-1278
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: 2025-03-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070925000373 | I | Physical Therapist In Private Practice | OR | TBD |
| I20250305003864 | I | Physical Therapist In Private Practice | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 270 | 15 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 116 | 14 | $0 |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 97086)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Occupational Therapist In Private Practice | OH | |
| Qualified Speech Language Pathologist | OH | |
| Occupational Therapist In Private Practice | NJ | |
| Physical Therapist In Private Practice | PA | |
| Qualified Speech Language Pathologist | OH | |
| Qualified Speech Language Pathologist | OH | |
| - | MD | |
| Physical Therapist In Private Practice | NJ | |
| Physical Therapist In Private Practice | OH |
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