Organization Active NPI

Merit Rehab, LLC

Doing business as Mount Vernon Physical Therapy

  • Physical Therapist
  • Mount Vernon, WA
National Provider Identifier
1285827816
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MERIT REHAB, LLC
Doing business as
Mount Vernon Physical Therapy
Practice address
2225 Riverside Dr
Mt Vernon, WA 98273-5403
Phone
(360) 424-6226
NPI assigned
Aug 27, 2007
Last updated
Jul 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Authorized official

Name
Rick McDaniel
Title
President
Phone
(503) 783-2491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

2225 Riverside Dr
Mt Vernon, WA 98273-5403

Mailing address

25117 SW Parkway Ave
Ste D
Wilsonville, OR 97070-9697
Phone (503) 783-2491

Other identifiers 1

IdentifierTypeStateIssuer
G8869136OtherWAPTAN

Other names 1

  • Mount Vernon Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

2225 Riverside Dr
Mount Vernon, WA 98273
Phone (360) 424-6226

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1285827816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25117 SW PARKWAY AVE",
            "address_2": "STE D",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709697",
            "telephone_number": "503-783-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 RIVERSIDE DR",
            "city": "MT VERNON",
            "state": "WA",
            "postal_code": "982735403",
            "telephone_number": "360-424-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIT REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-783-2491"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "G8869136",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Vernon Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.