James L Merrick, OT
Individual provider Active NPI Occupational Therapist · Shell Lake, WI
NPI 1285937151 · NPPES record last updated Dec 21, 2022
Key facts
- NPI
- 1285937151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 4048-26 (WI)
- Practice address
- 113 4TH Avenue
Shell Lake, WI 54871 - Phone
- (715) 468-7833
- Fax
- (715) 468-7839
- NPI assigned
- Dec 14, 2010
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4048-26 | WI | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4048-26 | WI | Yes |
Addresses
Primary practice location
113 4TH Avenue
Shell Lake, WI 54871
Mailing address
113 4TH Avenue
Shell Lake, WI 54871
Phone (715) 468-7833
Other providers in Shell Lake, WI
- Keith M Jaglinski
- Brenda L Joyce-Reidt
- Kenneth J Garrison, MD, SC
- Bailey Paige Koshatka
- Lifecircle Midwifery & Wellness Center, Inc.
- Matthew Michael Meyer
- Midstate Medical, Inc
- Amber Marie Miller
- Wendy Muska
- Margaret Mary Mussfeldt
All providers in Shell Lake, WI · Occupational Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.