Individual provider Active NPI

Merrie Louise Degrand, PT

  • Physical Therapist
  • Auburndale, WI
National Provider Identifier
1144289562
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3833024 Issued in WI
Practice address
10524 George Ave
Suite 2
Auburndale, WI 54412
Phone
(715) 652-3470
Fax
(715) 652-3473
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 3833024 WI Primary

Addresses

Primary practice location

10524 George Ave
Suite 2
Auburndale, WI 54412

Mailing address

PO Box 211
10524 George Ave Ste 2
Auburndale, WI 54412
Phone (715) 652-3470

Other names 1

  • Merrie Neitzel Former name

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

LicenseStateTypeSpecialty
3833024WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sport & Spine Clinic L P Past Accepting new patients
Sport & Spine Clinic LP Physical Therapist Past Accepting new patients

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1144289562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211",
            "address_2": "10524 GEORGE AVE STE 2",
            "city": "AUBURNDALE",
            "state": "WI",
            "postal_code": "54412",
            "telephone_number": "715-652-3470",
            "fax_number": "715-652-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10524 GEORGE AVE",
            "address_2": "SUITE 2",
            "city": "AUBURNDALE",
            "state": "WI",
            "postal_code": "54412",
            "telephone_number": "715-652-3470",
            "fax_number": "715-652-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRAND",
        "first_name": "MERRIE",
        "middle_name": "LOUISE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "3833024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERRIE",
            "last_name": "NEITZEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Auburndale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.