Melissa Bauerle, PT, DPT, ATC
Individual provider Active NPI Physical Therapist · Spring Hill, TN
NPI 1366096877 · NPPES record last updated May 20, 2024
Key facts
- NPI
- 1366096877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- CP027103T (TN)
- Practice address
- 3098 Campbell Station Pkwy Ste 101
Spring Hill, TN 37174-6274 - Phone
- (615) 302-2141
- Fax
- (615) 302-2162
- NPI assigned
- Aug 1, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Multicare Health System
Practice addresses (Care Compare)
31653 Pacific Hwy S
Suite B
Federal Way, WA 98003-5496
Phone (253) 252-7137
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in VA, OR, WA, TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191205001849 | VA | Practitioner - Physical Therapist in Private Practice | 1759714777 | Reassigns benefits to 1 organization |
| I20230327001037 | OR | Practitioner - Physical Therapist in Private Practice | 1759714777 | Reassigns benefits to 1 organization |
| I20230419001414 | WA | Practitioner - Physical Therapist in Private Practice | 1759714777 | Reassigns benefits to 1 organization |
| I20240329000394 | TN | Practitioner - Physical Therapist in Private Practice | 1759714777 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15545 | TN | MD | Psychiatry Physician |
| CP027103T | TN | MD | Physical Therapist |
| 2305212982 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Physical Therapy of Or, LLC | Physical Therapist | Current |
Accepting new patients |
| Results-Ast JV, LLC | Physical Therapist | Current |
Accepting new patients |
| Benchmark Physical Therapy of Oregon LLC | Physical Therapist | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current |
Accepting new patients | |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| Multicare Health System | Current |
Accepting new patients | |
| Benchmark Physical Therapy of Or, LLC | Physical Therapist | Current |
Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current |
Accepting new patients |
| MVP Physical Therapy, LLC | Physical Therapist | Past |
Accepting new patients |
| Select Physical Therapy Holdings Inc | Physical Therapist | Past |
Accepting new patients |
| Multicare Health System | Physical Therapist | Past | Accepting new patients |
| Tidewater Physical Therapy LLC | Physical Therapist | Past |
Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919
440 1st St
Lake Oswego, OR 97034
Phone (503) 744-4826
741 President Pl
Ste 130
Smyrna, TN 37167
Phone (615) 220-0086
3098 Campbell Station Pkwy
Ste 101
Spring Hill, TN 37174
Phone (615) 302-2141
2030 Cowan Hwy
Ste 1
Winchester, TN 37398
Phone (931) 968-1080
10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210
12494 Warwick Blvd
Newport News, VA 23606
Phone (804) 217-9210
31653 Pacific Hwy S
Ste B
Federal Way, WA 98003
Phone (253) 252-7137
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
7727 40th St W
Ste A
University Place, WA 98466
Phone (253) 460-1362
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CP027103T | TN | Yes |
| Physical Therapist | 225100000X | 2305212982 | VA |
Addresses
Primary practice location
3098 Campbell Station Pkwy Ste 101
Spring Hill, TN 37174-6274
Mailing address
3098 Campbell Station Pkwy Ste 101
Spring Hill, TN 37174-6274
Phone (615) 302-2141
Other providers in Spring Hill, TN
- Kelly Bandas
- Jeffrey Barnes
- Holly B Barruso
- Wade Alan Bartlett
- Raylissa Batten
- Elizabeth Courtney Baumer
- William Blair Baxter
- Christopher Alan Beavers
- Toren D Bell
- Kylie Beller
All providers in Spring Hill, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.