Merrilee Holman Good, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

60540642 Issued in WA

Practice address

37624 SE Fury St
Suite C-201
Snoqualmie, WA 98065-9680

Phone

(425) 292-0223

Fax

(425) 292-9225

NPI assigned

Aug 22, 2006

Last updated

Oct 27, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Merrilee Holman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mgood1279691@direct.ccf.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Euclid Hospital Cleveland Clinic Health System

  dba cleveland clinic foundation

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1003922998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37624 SE FURY ST",
            "address_2": "SUITE C-201",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980659680",
            "telephone_number": "425-292-0223",
            "fax_number": "425-292-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37624 SE FURY ST",
            "address_2": "SUITE C-201",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980659680",
            "telephone_number": "425-292-0223",
            "fax_number": "425-292-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOD",
        "first_name": "MERRILEE",
        "middle_name": "HOLMAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305204734",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "8841",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60540642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERRILEE",
            "last_name": "HOLMAN",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Whitney Price Gass, LMHCA
• Volkmar Uwe Gaussmann, MD
• Kendra Grace Gil, M.D.
• Deborah Jane Glowitz
• Gabriela Gonzalez
• Sara Gorcos, LICSW
• Gaye E Gouk
• Jason Gram, LSWAIC
• John Merle Gray, M.D.
• Jason Thomas Green, D.C.

• Physical Therapist in Snoqualmie, WA
• Providers in Snoqualmie, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.