Active NPI
Jason K Merz, PT
- Physical Therapist
- North Platte, NE
National Provider Identifier
1235150236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1691
- Practice address
- 120 West Leota Steet
North Platte, NE 69101-6036 - Phone
- (308) 534-0999
- Fax
- (308) 534-7299
- NPI assigned
- Jul 22, 2006
- Sex
- Male
- 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 | 1691 | NE | Primary |
Addresses
Primary practice location
120 West Leota Steet
North Platte, NE 69101-6036
Mailing address
PO Box 747
519 S Dewey
North Platte, NE 69103-0747
Phone (308) 534-0999
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47084123332 | Medicaid | NE | |
| 650020995 | Other | PALMETTO GBA RR MEDICARE | |
| 39861 | Other | NE | BLUE CROSS BLUE SHIELD |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Platte Nebraska Hospital Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Medical Oncology Physician
- North Platte, NE
- NPI 1134355332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1235150236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 747",
"address_2": "519 S DEWEY",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691030747",
"telephone_number": "308-534-0999",
"fax_number": "308-534-7299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 WEST LEOTA STEET",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691016036",
"telephone_number": "308-534-0999",
"fax_number": "308-534-7299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERZ",
"first_name": "JASON",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-22",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NE",
"license": "1691",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47084123332",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA RR MEDICARE",
"identifier": "650020995",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "39861",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Platte, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.