Healthcare Provider Details

I. General information

NPI: 1215862198
Provider Name (Legal Business Name): STEPHEN THOMAS MELE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

370 JAMES ST STE 304
NEW HAVEN CT
06513-3091
US

IV. Provider business mailing address

7 HIGH MEADOW RD
BRANFORD CT
06405-6014
US

V. Phone/Fax

Practice location:
  • Phone: 888-997-2669
  • Fax: 888-448-8916
Mailing address:
  • Phone: 203-903-3149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number14.015464-TEMP
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: