STACEY MELO DPT, PT
NPI 1861040040
Physical Therapist in Tewksbury, MA
About Stacey Melo Dpt, Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STACEY MELO DPT, PT (NPI 1861040040) is an individual physical therapist in Tewksbury, Massachusetts, licensed in Massachusetts (24405) and active in the NPI registry since August 2019. She is a graduate of Boston University School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
- 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.
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Stacey Melo Dpt, Pt 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.
Medicare Billing Reassignments
2Medicare enrollment records show Stacey Melo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Woburn, MA 01801
- Reassigned Medicare billing, Massachusetts enrollment
- 220 clinicians in this Medicare group
Quincy, MA 02169
- Reassigned Medicare billing, Massachusetts enrollment
- 703 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.
Areas of Expertise CMS Part B claims 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01876 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Stacey Melo's NPI number?
The NPI number for Stacey Melo is 1861040040. It was assigned to this individual provider in the NPPES registry on August 30, 2019. The provider is also known as Stacey Sousa.
Where is Stacey Melo located?
Stacey Melo practices at 1830 Main St Apt 1, Tewksbury, MA 01876. The listed phone number is (978) 710-6254.
What is Stacey Melo's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Stacey Melo enrolled in Medicare?
Yes. Stacey Melo 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.
Which organizations bill Medicare for Stacey Melo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Melo reassigns Medicare benefits to 2 organizations: Proex Physical Therapy, LLC (Woburn, MA) and Bay State Physical Therapy Of Randolph Inc (Quincy, MA). Each 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 Stacey Melo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Stacey Melo was last updated on March 25, 2024. 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.
# Stacey Melo, DPT, PT · NPI 1861040040
Physical Therapist provider in Tewksbury, Massachusetts. Individual provider, active in the CMS NPPES registry since August 30, 2019.
## Identity
- **NPI:** 1861040040 (Entity type: Individual)
- **Enumerated:** August 30, 2019
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **State license:** 24405 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 1830 MAIN ST APT 1, Tewksbury, MA 01876-4712
- **Phone:** (978) 710-6254 · **Fax:** (978) 710-6879
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Proex Physical Therapy, LLC (NPI 1831190453, Woburn, MA); Bay State Physical Therapy Of Randolph Inc (NPI 1316507627, Quincy, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Boston University School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** March 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1861040040) · Data from the CMS NPPES public registry.