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

Stacey Melo, DPT, PT

Individual provider Physical Therapist · NPI 1861040040

Stacey Melo, DPT, PT is a Physical Therapist in Private Practice in Tewksbury, Massachusetts. Graduated from Boston University School of Medicine in 2019, 7 years ago. Practices with Bay State Physical Therapy of Randolph Inc, a 443-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
7
Trained at
Boston University School of Medicine
Licensed in
MA
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1830 Main St Apt 1
Tewksbury, MA 01876-4712
Phone: (978) 710-6254
Fax: (978) 710-6879
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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 24405 (MA)

Record details

NPI number1861040040
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT , PT
Sole proprietorNo
NPI enumeratedAugust 30, 2019
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024
Mailing address703 Granite St Ste 3, Braintree, MA 02184-5350

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Bay State Physical Therapy Of Randolph Inc — 443 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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