MEDICARE: MELISSA KELTNER PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	CP052201T	VA

General Provider Information

NPI Number	:	1730844952
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA KELTNER PT

Provider Business Mailing Address
First Line	:	2122 YORK RD STE 300
Second Line	:
City	:	OAK BROOK
State	:	IL
Zip	:	60523-1925
Country	:	US
Telephone Number	:	630-575-6200
Fax Number	:	410-648-4878

Provider Business Practice Location Address
First Line	:	392 GARRISONVILLE RD STE 211
Second Line	:
City	:	STAFFORD
State	:	VA
Zip	:	22554-1576
Country	:	US
Telephone Number	:	540-602-4277
Fax Number	:	540-628-8581

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2021
Last Update Date	:	01/21/2026

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Directions to “ MELISSA KELTNER PT” Practice Location

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