Individual provider Active NPI

Merlin A Johnson, PT

  • Physical Therapist
  • Bartlesville, OK
National Provider Identifier
1295776318
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1766 Issued in OK
Practice address
2524 SE Washington Blvd
Bartlesville, OK 74006-7612
Phone
(918) 876-3898
Fax
(918) 876-3758
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1766 OK Primary

Addresses

Primary practice location

2524 SE Washington Blvd
Bartlesville, OK 74006-7612

Mailing address

2524 SE Washington Blvd
Bartlesville, OK 74006-7612
Phone (918) 876-3898

Other identifiers 1

IdentifierTypeStateIssuer
100634920BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110104000672 OK Practitioner - Physical Therapist in Private Practice 2163539255 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Peak Rehabilitation P.C.Group PAC ID 9436348653, 3 clinicians

Practice addresses (Care Compare)

2524 SE Washington Blvd
Peak Physical Thpy
Bartlesville, OK 74006-7612
Phone (918) 876-3898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1766OKMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Rehabilitation P.C. Physical Therapist CurrentSince Jun 21, 2010 Accepting new patients
Physical Therapy Services of Bartlesville Inc Physical Therapist PastSince Sep 13, 1995 Accepting new patients

Locations

2524 SE Washington Blvd
Bartlesville, OK 74006
Phone (918) 876-3898

2503 SE Washington Blvd
Ste 2
Bartlesville, OK 74006
Phone (918) 876-3898

1355 W Rogers Blvd
Ste 10
Skiatook, OK 74070
Phone (918) 396-7125

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1295776318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 SE WASHINGTON BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740067612",
            "telephone_number": "918-876-3898",
            "fax_number": "918-876-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 SE WASHINGTON BLVD",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740067612",
            "telephone_number": "918-876-3898",
            "fax_number": "918-876-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MERLIN",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "1766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100634920B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.