Active NPI
Joshua C Merrick
- Physical Therapist
- Fraser, CO
National Provider Identifier
1043449952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10465
- Practice address
- 280 N Zerex St
Fraser, CO 80442-5206 - Phone
- (970) 722-1060
- NPI assigned
- Jul 13, 2009
- Last updated
- May 8, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10465 | CO | Primary |
Addresses
Primary practice location
280 N Zerex St
Fraser, CO 80442-5206
Mailing address
10268 W Centennial Rd
Ste 110
Littleton, CO 80127-6423
Phone (303) 948-2999
Other practice location 1
679 E Nevava St
Hot Sulphur Springs, CO 80451-5000
Phone (303) 916-3310
Other practice location 2
65 E Wadsworth Park Dr Ste 230
Draper, UT 84020-8096
Phone (385) 308-8034
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10465 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 2ND Mile Performance LLC Joshua Cullen Merrick Sole MBR | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Fort Garland, CO
- NPI 1972310522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683504000000",
"number": "1043449952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10268 W CENTENNIAL RD",
"address_2": "STE 110",
"city": "LITTLETON",
"state": "CO",
"postal_code": "801276423",
"telephone_number": "303-948-2999",
"fax_number": "303-948-8667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 N ZEREX ST",
"city": "FRASER",
"state": "CO",
"postal_code": "804425206",
"telephone_number": "970-722-1060"
}
],
"practiceLocations": [
{
"address_1": "679 E Nevava St",
"address_purpose": "LOCATION",
"city": "Hot Sulphur Springs",
"state": "CO",
"postal_code": "804515000",
"country_code": "US",
"telephone_number": "303-916-3310",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "65 E Wadsworth Park Dr Ste 230",
"address_purpose": "LOCATION",
"city": "Draper",
"state": "UT",
"postal_code": "840208096",
"country_code": "US",
"telephone_number": "385-308-8034",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERRICK",
"first_name": "JOSHUA",
"middle_name": "C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-13",
"last_updated": "2023-05-08",
"certification_date": "2023-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "10465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fraser, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.