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

Samuel O'Melia

Individual provider Physical Therapist · NPI 1093338428

Samuel O'Melia is a Physical Therapist in Private Practice in Mequon, Wisconsin. Qualified in 2020, 6 years ago. Practices with United Physical Therapy Inc, a 34-clinician group and accepts Medicare assignment. Licensed in Alaska and Wisconsin.

Years since qualifying
6
Licensed in
AK, WI
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

11430 N Port Washington Rd
Mequon, WI 53092-3414
Phone: (262) 518-1900
Fax: (262) 518-1922
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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 15038-24 (WI)
Physical Therapist Taxonomy 225100000X · Licence 175662 (AK)

Record details

NPI number1093338428
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 20, 2020
Last updated in NPPESNovember 7, 2025
Certification dateNovember 7, 2025
Mailing address11430 N Port Washington Rd, Mequon, WI 53092-3414

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice United Physical Therapy Inc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Mequon