THOMAS MELVILLE – Physical Therapist, NPI 1083724777

THOMAS MELVILLE is a healthcare provider. based in Portland, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for THOMAS MELVILLE is 1083724777

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
THOMAS MELVILLE
NPI
1083724777
Phone
(201) 669-8980
Address
3355 SE WASHINGTON ST
Enumeration Date
30 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8665253175
Graduation Year
1997 (29 years ago)
PAC ID
0446624068
Group Practice PAC ID
5597178087
Professional Enrollment ID
I20230322002916
Address ID
OR971247844HI9620XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

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Provider Addresses for THOMAS MELVILLE

  • 3355, Southeast Washington Street, Belmont, Sunnyside, Portland, Multnomah County, Oregon, 97214, United States

    PORTLAND, OR 972143138

    Phone: (201) 669-8980

    Type: Mailing

  • 101, Northwest Flanders Street, Chinatown, Old Town, Portland, Metro, Multnomah County, Oregon, 97209, United States

    PORTLAND, OR 972103400

    Phone: (503) 288-8578

    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: 2023-03-22

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
I20230322002916IPhysical Therapist In Private PracticeORTBD

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 97214)

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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: 5597178087View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeWA
Physical Therapist In Private PracticeOR

Reviews

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Frequently asked questions

What unique ID ties claims to THOMAS MELVILLE?
NPI 1083724777 is assigned to THOMAS MELVILLE under the national enumeration system.
Is THOMAS MELVILLE currently active in the NPI registry?
CMS-published data lists THOMAS MELVILLE as an active registrant.
What field does THOMAS MELVILLE work in?
You can think of THOMAS MELVILLE as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
Where is THOMAS MELVILLE's primary listing?
We display Portland, Oregon because that is what the record indicates for THOMAS MELVILLE.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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