Active NPI
Valerie Denise Merricks
- Physical Therapist
- Gainesville, FL
National Provider Identifier
1306598396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004256600
- Practice address
- 1412 NE 20TH Ave Place
Gainesville, FL 32609 - Phone
- (352) 505-5789
- NPI assigned
- Jan 21, 2022
- Sex
- Female
- 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 | 004256600 | FL | Primary |
Addresses
Primary practice location
1412 NE 20TH Ave Place
Gainesville, FL 32609
Mailing address
1412 NE 20TH Ave Place
Gainesville, FL 32609
Phone (352) 301-1004
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004256600 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642723200000",
"number": "1306598396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1412 NE 20TH AVE PLACE",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32609",
"telephone_number": "352-301-1004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 NE 20TH AVE PLACE",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "32609",
"telephone_number": "352-505-5789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRICKS",
"first_name": "VALERIE",
"middle_name": "DENISE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-21",
"last_updated": "2022-01-21",
"certification_date": "2022-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "004256600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.