CLAIRE MELLEMA DPT
NPI 1225810070
Physical Therapist in Mansfield, OH

Active since October 17, 2023Accepts Medicare Assignment
630 LEXINGTON AVE, MANSFIELD, OH 44907(419) 515-3837 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Claire Mellema Dpt NPPES

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

CLAIRE MELLEMA DPT (NPI 1225810070) is an individual physical therapist in Mansfield, Ohio, licensed in Ohio (PT020769) and active in the NPI registry since October 2023. She is a graduate of University Of North Dakota School Of Medicine (2023).

NPPES Registry Identity

NPI1225810070
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameCLAIRE MELLEMACredential: DPT
Location Address630 LEXINGTON AVEMansfield, OH 44907-1500
Mailing Address291 1/2 Lee AveAshland, OH 44805-2730
Sole ProprietorYes
Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2023
Enumeration DateOctober 17, 2023
NPPES CertifiedOctober 17, 2023
NPI 1225810070 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
License Licensed in OH · PT020769
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.
630 LEXINGTON AVE, Mansfield, OH 44907

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

Claire Mellema Dpt 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 ID4082155635
PECOS Enrollment IDI20240923001820

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44907 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 15

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

Physical Therapist
630 LEXINGTON AVE
MANSFIELD, OH 44907
Physical Therapist
630 LEXINGTON AVE
MANSFIELD, OH 44907
Dentist (General Practice)
630 LEXINGTON AVE
MANSFIELD, OH 44907
Clinic/Center (Medical Specialty)
630 LEXINGTON AVE
MANSFIELD, OH 44907
Physical Therapist
630 LEXINGTON AVE
MANSFIELD, OH 44907
Dentist (General Practice)
630 LEXINGTON AVE
MANSFIELD, OH 44907
Internal Medicine
630 LEXINGTON AVE
MANSFIELD, OH 44907
Dentist (Oral and Maxillofacial Surgery)
630 LEXINGTON AVE
MANSFIELD, OH 44907

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 Claire Mellema's NPI number?

The NPI number for Claire Mellema is 1225810070. It was assigned to this individual provider in the NPPES registry on October 17, 2023.

Where is Claire Mellema located?

Claire Mellema practices at 630 Lexington Ave, Mansfield, OH 44907. The listed phone number is (419) 515-3837.

What is Claire Mellema's specialty?

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

Is Claire Mellema enrolled in Medicare?

Yes. Claire Mellema 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 Claire Mellema accept?

Health plans from MedMutual and Molina Healthcare list Claire Mellema 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 Claire Mellema was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.