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

Owen Memelo, DPT

Individual provider Physical Therapist · NPI 1073270146

Owen Memelo, DPT is a Physical Therapist in Private Practice in Victor, New York. Qualified in 2021, 5 years ago. Practices with Shuman Physical Therapy Associates PC, a 140-clinician group and accepts Medicare assignment. Licensed in Massachusetts and New York.

Years since qualifying
5
Licensed in
MA, NY
In the registry since
2021
Specialties on file
2
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

7387 Pittsford Victor Rd Ste 950
Victor, NY 14564-9676
Phone: (585) 924-3250
Fax: (585) 924-5127
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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 048840 (NY)
Physical Therapist Taxonomy 225100000X · Licence 25883 (MA)

Record details

NPI number1073270146
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 23, 2021
Last updated in NPPESJuly 13, 2022
Certification dateJuly 13, 2022
Mailing address7387 Pittsford Victor Rd Ste 950, Victor, NY 14564-9676

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 Shuman Physical Therapy Associates Pc — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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