Individual provider Active NPI

Michael Osei Merrick, MPT

  • Physical Therapist
  • Bowie, MD
National Provider Identifier
1235308263
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22283 Issued in MD
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

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
22283MDMDClinical Social Worker
PT870782DCMDPhysical Therapist
M620603648470MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

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.

Verify at the official NPI Registry.