Shannon Merriman, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTL.0012236 Issued in CO

Practice address

4045 Wadsworth Blvd
Wheat Ridge, CO 80033-4642

Phone

(303) 940-1611

NPI assigned

Dec 9, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

T-0 Sports Performance LLCGroup PAC ID 3678941960, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• T-0 Sports Performance LLC

  • Physical Therapy Clinic/Center
  • Westminster, CO
  • NPI 1053873596

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1386547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386547200000",
    "number": "1225469729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6095 W 40TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800335103",
            "telephone_number": "734-646-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 WADSWORTH BLVD",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334642",
            "telephone_number": "303-940-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRIMAN",
        "first_name": "SHANNON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-09",
        "last_updated": "2013-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0012236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chrystle Leigh Mercer, PT
• Audra Mergl
• Thomas P Merkert, MD
• Emily Merrick, PHARMD
• Ann Carrie Merrill, RN,BSN
• Jazmyn Merritt
• Metro Community Provider Network Inc
• Metro Community Provider Network Inc
• Metro Community Provider Network Inc
• Metro Community Provider Network, Inc.

• Physical Therapist in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.