SAMUEL O'MELIA
NPI 1093338428
Physical Therapist in Mequon, WI

Active since May 20, 2020Accepts Medicare Assignment
11430 N PORT WASHINGTON RD, MEQUON, WI 53092(262) 518-1900(262) 518-1922 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 7, 2025, Aug 30, 2022, Aug 2, 2022 and 4 more (7 updates tracked since 2020).

About Samuel O'melia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL O'MELIA (NPI 1093338428) is an individual physical therapist in Mequon, Wisconsin, licensed in Wisconsin (15038-24) and active in the NPI registry since May 2020. He is a graduate of Other (2020).

NPPES Registry Identity

NPI1093338428
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameSAMUEL O'MELIA
Location Address11430 N PORT WASHINGTON RDMequon, WI 53092-3414
Mailing Address11430 N Port Washington RdMequon, WI 53092-3414 · (262) 518-1900 · Fax (262) 518-1922
Fax(262) 518-1922
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 20, 2020
Last NPPES UpdateNovember 7, 20257 updates tracked since enumeration
NPPES CertifiedNovember 7, 2025
NPI 1093338428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses Licensed in WI · 15038-24 Licensed in AK · 175662
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
11430 N PORT WASHINGTON RD, Mequon, WI 53092

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samuel O'melia is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032512397
PECOS Enrollment IDI20210723001189, I20251103001654

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
1,352 services84 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
282 services45 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
54 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53092 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
11430 N PORT WASHINGTON RD
MEQUON, WI 53092
Physical Therapist
11430 N PORT WASHINGTON RD
MEQUON, WI 53092
Family Medicine
11430 N PORT WASHINGTON RD
MEQUON, WI 53092
Nurse Practitioner
11430 N PORT WASHINGTON RD
MEQUON, WI 53092
Physical Therapist
11430 N PORT WASHINGTON RD
MEQUON, WI 53092
Physical Therapist
11430 N PORT WASHINGTON RD
MEQUON, WI 53092
Pediatrics
11430 N PORT WASHINGTON RD
MEQUON, WI 53092
Anesthesiology (Pain Medicine)
11430 N PORT WASHINGTON RD
MEQUON, WI 53092

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel O'melia's NPI number?

The NPI number for Samuel O'melia is 1093338428. It was assigned to this individual provider in the NPPES registry on May 20, 2020.

Where is Samuel O'melia located?

Samuel O'melia practices at 11430 N Port Washington Rd, Mequon, WI 53092. The listed phone number is (262) 518-1900.

What is Samuel O'melia's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Samuel O'melia enrolled in Medicare?

Yes. Samuel O'melia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samuel O'melia accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Samuel O'melia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel O'melia was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.