MRS. JENNIFER RENEA MELLIS PT
NPI 1386995108
Physical Therapist in Wilmington, NC

Active since September 20, 2012
6622 GORDON RD STE L, WILMINGTON, NC 28411(910) 407-7211 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 19, 2025, Jan 16, 2020 (2 updates tracked since 2020).

About Mrs. Jennifer Renea Mellis Pt NPPES

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

MRS. JENNIFER RENEA MELLIS PT (NPI 1386995108) is an individual physical therapist in Wilmington, North Carolina, licensed in North Carolina (6747) and active in the NPI registry since September 2012. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1386995108
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMRS. JENNIFER RENEA MELLISCredential: PT
Location Address6622 GORDON RD STE LWilmington, NC 28411-8415
Mailing Address6622 Gordon Rd Ste LWilmington, NC 28411-8415 · (910) 407-7211
Sole ProprietorNo
Enumeration DateSeptember 20, 2012
Last NPPES UpdateFebruary 19, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
✔ NPI 1386995108 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 NC · 6747
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.
6622 GORDON RD STE L, Wilmington, NC 28411

Secondary Practice Locations 2

Location 13901 Wrightsville Ave Ste 120Wilmington, NC 28403-6256 · Phone (910) 679-8385 · Fax (910) 679-8387
Location 28800 Sawmill Creek LnWilmington, NC 28411-8353 · Phone (910) 228-6462

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jennifer Renea Mellis Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Mellis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Speech-Language Pathologist
3901 WRIGHTSVILLE AVE STE 120
Wilmington, NC 28403
  • Reassigned Medicare billing, North Carolina enrollment
  • 54 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

Speech-Language Pathologist
6622 GORDON RD STE L
WILMINGTON, NC 28411
Occupational Therapist (Pediatrics)
6622 GORDON RD STE L
WILMINGTON, NC 28411
Speech-Language Pathologist
6622 GORDON RD STE L
WILMINGTON, NC 28411
Occupational Therapist (Pediatrics)
6622 GORDON RD STE L
WILMINGTON, NC 28411

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 Jennifer Mellis's NPI number?

The NPI number for Jennifer Mellis is 1386995108. It was assigned to this individual provider in the NPPES registry on September 20, 2012.

Where is Jennifer Mellis located?

Jennifer Mellis practices at 6622 Gordon Rd Ste L, Wilmington, NC 28411. The listed phone number is (910) 407-7211.

What is Jennifer Mellis's specialty?

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

Is Jennifer Mellis enrolled in Medicare?

Yes. Jennifer Mellis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Mellis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Mellis reassigns Medicare benefits to Coastline Therapy Group, LLC (Wilmington, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Mellis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Mellis accept?

Health plans from Blue Cross and Blue Shield of NC list Jennifer Mellis 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 Jennifer Mellis was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.