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

Mrs. Melissa Diane Stack, PT

Individual provider Orthopedic Physical Therapist · NPI 1275648115

Mrs. Melissa Diane Stack, PT is a Physical Therapist in Private Practice in San Antonio, Texas. Qualified in 1983, 43 years ago. Accepts Medicare assignment. Licensed in Texas.

Years since qualifying
43
Licensed in
TX
In the registry since
2006
Specialties on file
2
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

8800 Village Dr Ste 101
San Antonio, TX 78217
Phone: (210) 654-7428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1036465 (TX)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 1036465 (TX)

Record details

NPI number1275648115
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 20, 2006
Last updated in NPPESNovember 25, 2008

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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