Individual provider Active NPI

Douglas Edward Merz, P.T.

  • Physical Therapist
  • Minnetonka, MN
National Provider Identifier
1013062165
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2916 Issued in MN
Practice address
15000 Minnetonka Blvd
Minnetonka, MN 55345-1506
Phone
(952) 935-4037
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2916 MN Primary

Addresses

Primary practice location

15000 Minnetonka Blvd
Minnetonka, MN 55345-1506

Mailing address

15000 Minnetonka Blvd
Minnetonka, MN 55345-1506
Phone (952) 935-4037

Other identifiers 3

IdentifierTypeStateIssuer
6B480MEOtherMNBLUE CROSS INDIVIDUAL ID
1024610OtherMNPREFERRED ONE GROUP #
6B478OROtherMNBLUE CROSS BLUE SHIELD GR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120118000634 MN Practitioner - Physical Therapist in Private Practice 5294621140 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2916MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Merz, Inc. Physical Therapist CurrentSince Nov 15, 1994 Accepting new patients
Therapy Partners Inc Physical Therapist Past Accepting new patients

Locations

15000 Minnetonka Blvd
Minnetonka, MN 55345
Phone (952) 930-8540

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1013062165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15000 MINNETONKA BLVD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553451506",
            "telephone_number": "952-935-4037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 MINNETONKA BLVD",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553451506",
            "telephone_number": "952-935-4037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERZ",
        "first_name": "DOUGLAS",
        "middle_name": "EDWARD",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "2916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS INDIVIDUAL ID",
            "identifier": "6B480ME",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE GROUP #",
            "identifier": "1024610",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD GR",
            "identifier": "6B478OR",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.