Merritt Physical Therapy & Reabilitation Inc. PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305003200 Issued in VA

Legal business name

MERRITT PHYSICAL THERAPY & REABILITATION INC. PC

Practice address

20716 Riverside Dr
Grundy, VA 24614-6747

Phone

(276) 935-6496

Fax

(276) 935-5852

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa Moore, PT

Title

Administrator

Phone

(276) 935-6496

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Tax ID family

Merritt Physical Therapy Reabilitation Inc PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Merritt Physical Therapy & Rehabiliation

  • Speech-Language Pathologist
  • Grundy, VA
  • NPI 1477991958
  NPD tax ID
• Merritt Physical Therapy & Rehabilitation

  • Occupational Therapist
  • Grundy, VA
  • NPI 1518017540
  NPD tax ID

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leonard K Brown, PT

  • Physical Therapist
  • Vansant, VA
  • NPI 1932448479
  NPD (past)
• Jordyn K Cole, OT

  • Occupational Therapist
  • Cedar Bluff, VA
  • NPI 1417541566
  NPD (past)
• David T Compton, DPT

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1710593231
  NPD (past)
• Leslie Hrovatic

  • Speech-Language Pathologist
  • Grundy, VA
  • NPI 1710657572
  NPD (past)
• Morgan Kinser, CCC-SLP

  • Speech-Language Pathologist
  • Pounding Mill, VA
  • NPI 1255987566
  NPD (past)
• Tanner Keith Wagner

  • Occupational Therapist
  • Grundy, VA
  • NPI 1043032154
  NPD (past)
• Leigh Shannon Wess, MA CCC-SLP

  • Speech-Language Pathologist
  • Tazewell, VA
  • NPI 1093384265
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1184774598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1078",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "246141078",
            "telephone_number": "273-935-6496",
            "fax_number": "276-935-5852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20716 RIVERSIDE DR",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "246146747",
            "telephone_number": "276-935-6496",
            "fax_number": "276-935-5852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRITT PHYSICAL THERAPY & REABILITATION INC. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "276-935-6496",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305003200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "193487",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184774598",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004978471",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ricardo Juan Martinez-Cortines, MD
• Jessie Geneva Matney, LPTA
• Alyson Paige Meadows, MSN, FNP-C
• Med-Supply
• Medical Park Pharmacy Inc
• Merritt Physical Therapy & Rehabiliation
• Merritt Physical Therapy & Rehabilitation
• Courtney Brooke Mitchell, PHARM D
• Shelia A Mullins
• Susan Christine Mullooly, D.O.

• All providers in Grundy, VA
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.