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

Mrs. Melissa Diane Martin, PT

Individual provider Physical Therapist · NPI 1578565388

Mrs. Melissa Diane Martin, PT is a Physical Therapist in Private Practice in Waterford, Wisconsin. Qualified in 1996, 30 years ago. Practices with Orthopaedic Associates of Wisconsin SC, a 106-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
30
Licensed in
WI
In the registry since
2005
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

315 N Milwaukee St
Waterford, WI 53185-4432
Phone: (262) 514-2700
Fax: (262) 514-3003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • N15w28300 Golf Rd, Pewaukee, WI 53072-4800 — (262) 303-5055

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5437-024 (WI)

Record details

NPI number1578565388
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 11, 2005
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Orthopaedic Associates Of Wisconsin Sc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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