Active NPI
Patricia Diane Mergener, P.T.
- Orthopedic Physical Therapist
- Madison, WI
National Provider Identifier
1083641401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 1434-024
- Practice address
- 4901 Cottage Grove Rd
Madison, WI 53716-1392 - Phone
- (608) 221-1501
- Fax
- (608) 223-3540
- NPI assigned
- Jun 28, 2006
- Last updated
- Sep 13, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 1434-024 | WI | Primary |
Addresses
Primary practice location
4901 Cottage Grove Rd
Madison, WI 53716-1392
Mailing address
4901 Cottage Grove Rd
Madison, WI 53716-1392
Phone (608) 221-1501
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 |
|---|---|---|---|
| 1434-024 | WI | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347494400000",
"number": "1083641401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4901 COTTAGE GROVE RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537161392",
"telephone_number": "608-221-1501",
"fax_number": "608-223-3540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 COTTAGE GROVE RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537161392",
"telephone_number": "608-221-1501",
"fax_number": "608-223-3540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERGENER",
"first_name": "PATRICIA",
"middle_name": "DIANE",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2012-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "WI",
"license": "1434-024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
- Steven J. Merckx, DPM
- Brie Meredith, APNP
- Melissa Meredith, MD
- Sally Meredith, APNP
- Paul Mergen, DC
- Carrie Michele Merino
- Meriter Health Enterprises Inc. (Meriter Laboratories)
- Meriter Health Enterprises, Inc (Homestretch)
- Meriter Health Enterprises, Inc (Meriter Home Care Pharmacy)
- Meriter Health Enterprises, Inc. (Meriter Home Care Agency)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.