Active NPI
Elizabeth Merrill, OTR/L
- Occupational Therapist
- Southern Pines, NC
National Provider Identifier
1184087868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 8452
- Practice address
- 101 Brucewood Rd
Southern Pines, NC 28387-5159 - Phone
- (910) 684-4161
- NPI assigned
- Mar 31, 2016
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 8452 | NC | Primary |
Addresses
Primary practice location
101 Brucewood Rd
Southern Pines, NC 28387-5159
Mailing address
2035 Malta Court
Aberdeen, NC 28315
Phone (919) 904-0527
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8452 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459382400000",
"number": "1184087868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2035 MALTA COURT",
"city": "ABERDEEN",
"state": "NC",
"postal_code": "28315",
"telephone_number": "919-904-0527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 BRUCEWOOD RD",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283875159",
"telephone_number": "910-684-4161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRILL",
"first_name": "ELIZABETH",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-31",
"last_updated": "2016-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "8452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southern Pines, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.