Active NPI
Michael Osei Merrick, MPT
- Physical Therapist
- Bowie, MD
National Provider Identifier
1235308263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 22283
- Practice address
- 14000 Jericho Park Rd
Bowie, MD 20715-3319 - Phone
- (202) 277-7887
- Fax
- (240) 419-3090
- NPI assigned
- Feb 24, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | M620603648470 | MD | |
| Physical Therapist | 225100000X | PT870782 | DC | |
| Physical Therapist | 225100000X | 22283 | MD | Primary |
Addresses
Primary practice location
14000 Jericho Park Rd
Bowie, MD 20715-3319
Mailing address
PO Box 1597
Washington, DC 20013-1597
Phone (202) 277-7887
Other practice location 1
6th & Girard St NW
Washington, DC 20059-3231
Phone (202) 277-7887
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 |
|---|---|---|---|
| 22283 | MD | MD | Clinical Social Worker |
| PT870782 | DC | MD | Physical Therapist |
| M620603648470 | MD | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Varsity Professional Rehabilitation and Staffing, LLC | 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.
-
- Sports Physical Therapist
- Bowie, MD
- NPI 1841534468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551225600000",
"number": "1235308263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1597",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200131597",
"telephone_number": "202-277-7887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14000 JERICHO PARK RD",
"city": "BOWIE",
"state": "MD",
"postal_code": "207153319",
"telephone_number": "202-277-7887",
"fax_number": "240-419-3090"
}
],
"practiceLocations": [
{
"address_1": "6th & Girard St NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200593231",
"country_code": "US",
"telephone_number": "202-277-7887",
"fax_number": "240-419-3090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERRICK",
"first_name": "MICHAEL",
"middle_name": "OSEI",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-24",
"last_updated": "2019-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "M620603648470",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DC",
"license": "PT870782",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "22283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
- Mental Insight & Behavioral Services LLC
- Mercy Healthcare Services
- Merendis, LLC
- Merimax Incorporation
- Merj Community Healthcare Services LLC
- Sarah A Merritt, M.D.
- Metro Area Chiropractic & Rehab
- Metropolitan Medical Consulting Services LLC
- Metropolitan Radiology Associates Chartered
- Lee A Meyers, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.