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

Melissa Jane Stavrakis, DPT, OCS

Individual provider Physical Therapist · NPI 1780690859

Melissa Jane Stavrakis, DPT, OCS is a Physical Therapist in Private Practice in Vienna, West Virginia. Qualified in 2003, 23 years ago. Practices with Camden-Clark Physician Corporation, a 346-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
23
Licensed in
WV
In the registry since
2006
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1605 Grand Central Ave
Vienna, WV 26105-1081
Phone: (304) 295-7290
Fax: (304) 295-5922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 416 37th St, Parkersburg, WV 26101-1009 — (304) 428-1703

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 002359 (WV)

Record details

NPI number1780690859
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT , OCS
Sole proprietorNo
NPI enumeratedJuly 31, 2006
Last updated in NPPESMay 24, 2019

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Camden-Clark Physician Corporation — 346 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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