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

Melanie Ketchmark

Individual provider Physical Therapist · NPI 1285365940

Melanie Ketchmark is a Physical Therapist in Private Practice in Forest Park, Illinois. Qualified in 2002, 24 years ago. Practices with Tlc Home Therapy, Inc, a 2-clinician group and accepts Medicare assignment.

Years since qualifying
24
In the registry since
2022
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Practice location Address checks out

8200 Roosevelt Rd
Forest Park, IL 60130-2528
Phone: (708) 850-4889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1285365940
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 22, 2022
Last updated in NPPESJune 22, 2022
Certification dateJune 22, 2022
Mailing address3114 Raymond Ave, Brookfield, IL 60513-1246

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Tlc Home Therapy, Inc. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Forest Park