Active NPI
Merit Rehab, LLC
- Physical Therapist
- Enumclaw, WA
National Provider Identifier
1194984567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MERIT REHAB, LLC
- Practice address
- 2884 Griffin Ave
Suite a
Enumclaw, WA 98022-2318 - Phone
- (360) 825-6686
- NPI assigned
- Jun 2, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rick McDaniel
- Title
- President
- Phone
- (503) 705-4962
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
2884 Griffin Ave
Suite a
Enumclaw, WA 98022-2318
Mailing address
25117 SW Parkway Ave
Suite D
Wilsonville, OR 97070-9697
Phone (503) 783-2491
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G8873164 | Other | WA | PTAN |
Other names 1
- Stuart Jones Physical Therapy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1405900800000",
"number": "1194984567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25117 SW PARKWAY AVE",
"address_2": "SUITE D",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970709697",
"telephone_number": "503-783-2491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2884 GRIFFIN AVE",
"address_2": "SUITE A",
"city": "ENUMCLAW",
"state": "WA",
"postal_code": "980222318",
"telephone_number": "360-825-6686"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERIT REHAB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-02",
"last_updated": "2014-07-21",
"status": "A",
"authorized_official_last_name": "MCDANIEL",
"authorized_official_first_name": "RICK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "503-705-4962"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "G8873164",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Stuart Jones Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Enumclaw, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.