NPIMap

Individual provider Active NPI

Peter David Mello, PT

  • Physical Therapist
  • Bridgewater, MA
National Provider Identifier
1285915546
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21577 Issued in MA
Practice address
78 Carver Dr
Bridgewater, MA 02324-3108
Phone
(617) 279-9110
NPI assigned
Aug 31, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT03515 RI
Physical Therapist 225100000X PT012175 GA
Physical Therapist 225100000X 21577 MA Primary

Addresses

Primary practice location

78 Carver Dr
Bridgewater, MA 02324-3108

Mailing address

78 Carver Dr
Bridgewater, MA 02324-3108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170217001293 GA Practitioner - Physical Therapist in Private Practice 2062685944 Reassigns benefits to 1 organization
I20220721001519 MA Practitioner - Physical Therapist in Private Practice 2062685944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brockton Physical Therapy and Rehabilitation, Inc.Group PAC ID 0042481319, 2 clinicians

Practice addresses (Care Compare)

340 Pleasant St
Brockton, MA 02301-3236
Phone (508) 588-2239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21577MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Optim Orthopedics, LLC CurrentSince Mar 12, 2017 Accepting new patients
Brockton Physical Therapy & Rehabilitation, Inc. Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Optim Orthopedics, LLC CurrentSince Mar 12, 2017 Accepting new patients
Optim Orthopedics, LLC PastSince Oct 6, 2019 Accepting new patients
Restore Physical Therapy, LLC Physical Therapist Past Accepting new patients
Optim Orthopedics, LLC Past Accepting new patients
Start Inc PastSince Dec 1, 2024 Accepting new patients
Ptmatters, Inc. Physical Therapist Past Accepting new patients
Coastal Plains Eye Care, LLC PastSince May 1, 2023 Accepting new patients

Locations

247 S Main St
#A
Reidsville, GA 30453
Phone (912) 352-4490

810 Towne Park Dr
Ste 200
Rincon, GA 31326
Phone (912) 826-2533

210 E Derenne Ave
Savannah, GA 31405
Phone (912) 355-0140

101 W Mulberry Blvd
Ste 140
Savannah, GA 31407
Phone (912) 348-9500

340 Pleasant St
Brockton, MA 02301
Phone (508) 586-8901

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1285915546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 CARVER DR",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023243108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 CARVER DR",
            "city": "BRIDGEWATER",
            "state": "MA",
            "postal_code": "023243108",
            "telephone_number": "617-279-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLO",
        "first_name": "PETER",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-31",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT03515",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012175",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "21577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgewater, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.

Verify at the official NPI Registry.