Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Guardson Cloma Mellijor

Individual provider Physical Therapist · NPI 1578100475

Guardson Cloma Mellijor is registered under Physical Therapist in Private Practice in New York, New York. Qualified in 2001, 25 years ago. Practices with Tlc Clove Lake Physical Therapy PC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
25
Licensed in
NY
In the registry since
2019
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Practice location Address checks out

111 Wadsworth Ave
New York, NY 10033-6102
Phone: (212) 740-7400
Fax: (212) 740-7408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 040188 (NY)

Record details

NPI number1578100475
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 10, 2019
Last updated in NPPESDecember 10, 2019
Certification dateDecember 10, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Tlc Clove Lake Physical Therapy Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients96
Services billed 3,116 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Tlc Clove Lake Physical Therapy PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in New York