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

Melissa Spence

Individual provider Physical Therapist · NPI 1902554264

Melissa Spence is a Physical Therapist in Private Practice in Glendale, Arizona. Qualified in 2021, 5 years ago. Practices with 360 Physical Therapy LLC, a 85-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2022
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Practice location Address checks out

18561 N 59th Ave Ste 117
Glendale, AZ 85308-1256
Phone: (623) 322-0654
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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 number1902554264
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 16, 2022
Last updated in NPPESMarch 16, 2022
Certification dateMarch 16, 2022
Mailing address790 Remington Blvd, Bolingbrook, IL 60440-4909

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice 360 Physical Therapy Llc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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