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

Michaela Beth Mello

Individual provider Physical Therapist · NPI 1417676289

Michaela Beth Mello is a Physical Therapist in Private Practice in Meridian, Idaho. Qualified in 2022, 4 years ago. Practices with Foothills Physical Therapy PA, a 27-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
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Practice location Address checks out

1618 S Millenium Way Ste 210
Meridian, ID 83642-6457
Phone: (208) 884-4647
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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 number1417676289
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 25, 2022
Last updated in NPPESApril 22, 2025
Certification dateApril 9, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Foothills Physical Therapy Pa — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Meridian