Individual provider Active NPI

Christina C. Merk, PT

  • Physical Therapist
  • New Albany, IN
National Provider Identifier
1083801401
Registry record updated Sep 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05002026A Issued in IN
Practice address
727 Mount Tabor Rd
Suite D
New Albany, IN 47150-6951
Phone
(812) 945-2453
NPI assigned
Sep 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 001184 KY
Physical Therapist 225100000X 05002026A IN Primary

Addresses

Primary practice location

727 Mount Tabor Rd
Suite D
New Albany, IN 47150-6951

Mailing address

PO Box 417
Floyds Knobs, IN 47119-0417
Phone (502) 608-8475

Other identifiers 2

IdentifierTypeStateIssuer
2008849950MedicaidIN
000000283358OtherANTHEM

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
05002026AINMDPhysical Therapist
001184KYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Specialty Rehab, Inc. Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191110400000",
    "number": "1083801401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "FLOYDS KNOBS",
            "state": "IN",
            "postal_code": "471190417",
            "telephone_number": "502-608-8475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 MOUNT TABOR RD",
            "address_2": "SUITE D",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471506951",
            "telephone_number": "812-945-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERK",
        "first_name": "CHRISTINA",
        "middle_name": "C.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-30",
        "last_updated": "2007-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "001184",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05002026A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2008849950",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000283358",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2007; 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.