Active NPI
Merrie Louise Degrand, PT
- Physical Therapist
- Auburndale, WI
National Provider Identifier
1144289562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3833024
- 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
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 | 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
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 |
|---|---|---|---|
| 3833024 | WI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Durable Medical Equipment & Medical Supplies
- Wausau, WI
- NPI 1134334691
-
- Physical Therapist
- Auburndale, WI
- NPI 1043252695
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.