Active NPI
Melissa Aileen Gaudette, PT, DPT
- Physical Therapist
- West Chester, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT020037
- Practice address
- 8020 Liberty Way
West Chester, OH 45069-2519 - Phone
- (513) 246-2270
- Fax
- (513) 860-0713
- NPI assigned
- Aug 13, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5803 | SC | |
| Physical Therapist | 225100000X | PT012665 | GA | |
| Physical Therapist | 225100000X | PT020037 | OH | Primary |
Addresses
Primary practice location
8020 Liberty Way
West Chester, OH 45069-2519
Mailing address
6480 Harrison Ave Ste 201
Cincinnati, OH 45247-7961
Phone (513) 354-7662
Other names 1
- Melissa Aileen Stelmacki
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8020 Liberty Way
West Chester, OH 45069-2519
Phone (513) 354-3700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT012665 | GA | MD | Physical Therapist |
| PT020037 | OH | MD | Physical Therapist |
| 5803 | SC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Orthopaedics & Sports Medicine, LTD | Physical Therapist | Current | Accepting new patients |
| Beacon Orthopaedics & Sports Medicine LTD | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
6480 Harrison Ave
Ste 201
Cincinnati, OH 45247
Phone (513) 354-7650
6480 Harrison Ave
Cincinnati, OH 45247
Phone (513) 251-7827
8020 Liberty Way
West Chester, OH 45069
Phone (513) 777-8300
Interoperability endpoints
- melissa.gaudette.p1@direct.beaconortho.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Cincinnati, OH
- NPI 1386670065
Physical Therapist
-
- Orthopaedic Foot and Ankle Surgery Physician
- Worthington, OH
- NPI 1699472878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1194971978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6480 HARRISON AVE STE 201",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452477961",
"telephone_number": "513-354-7662",
"fax_number": "513-354-7651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8020 LIBERTY WAY",
"city": "WEST CHESTER",
"state": "OH",
"postal_code": "450692519",
"telephone_number": "513-246-2270",
"fax_number": "513-860-0713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUDETTE",
"first_name": "MELISSA",
"middle_name": "AILEEN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-13",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "5803",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT012665",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT020037",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELISSA",
"last_name": "STELMACKI",
"middle_name": "AILEEN",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Chester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.