Melinda Bakos

Individual provider Active NPI Physical Therapy Assistant · Perry, OH

NPI 1356743249 · NPPES record last updated Jul 27, 2026

Key facts

NPI
1356743249
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
05090 (OH)
Practice address
4325 Manchester Rd
Perry, OH 44081-9413
Phone
(440) 259-9200
NPI assigned
Sep 23, 2014
Reactivated
Jul 27, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
05090OHMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 05090 OH Yes

Addresses

Primary practice location

4325 Manchester Rd
Perry, OH 44081-9413

Mailing address

7643 Mary LN
Mentor, OH 44060-5901
Phone (440) 655-4144

Other providers in Perry, OH

All providers in Perry, OH · Physical Therapy Assistant in Ohio

Sources for this page

Verify at the official NPI Registry.