Active NPI
Franklin R. Merritt, PT, OCS, CSCS
- Physical Therapist
- Sumner, WA
National Provider Identifier
1275733784
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Apr 18, 2013.
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00008051
- Practice address
- 5814 Graham Ave
Suite 101
Sumner, WA 98390-2728 - Phone
- (253) 891-7093
- Fax
- (253) 891-1033
- NPI assigned
- Jul 23, 2007
- 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 | PT00008051 | WA | Primary |
Addresses
Primary practice location
5814 Graham Ave
Suite 101
Sumner, WA 98390-2728
Mailing address
4040 Orchard St W.
Suite 100
Fircrest, WA 98466
Phone (253) 564-1560
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00008051 | WA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| U.S. Healthworks Medical Group of Washington, PS | 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.
-
- Urgent Care Clinic/Center
- Valencia, CA
- NPI 1407836208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285113600000",
"number": "1275733784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 ORCHARD ST W.",
"address_2": "SUITE 100",
"city": "FIRCREST",
"state": "WA",
"postal_code": "98466",
"telephone_number": "253-564-1560",
"fax_number": "253-564-4449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5814 GRAHAM AVE",
"address_2": "SUITE 101",
"city": "SUMNER",
"state": "WA",
"postal_code": "983902728",
"telephone_number": "253-891-7093",
"fax_number": "253-891-1033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRITT",
"first_name": "FRANKLIN",
"middle_name": "R.",
"credential": "PT, OCS, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-23",
"last_updated": "2010-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00008051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sumner, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.