Active NPI
Merrilyn Lucille Trombly, O.T.
- Occupational Therapist
- Sun Prairie, WI
National Provider Identifier
1316124613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2979-026
- Practice address
- 10 Tower Dr
Dean Medical Center
Sun Prairie, WI 53590-1239 - Phone
- (608) 825-3628
- Fax
- (608) 825-3598
- NPI assigned
- Jan 29, 2008
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2979-026 | WI | Primary |
Addresses
Primary practice location
10 Tower Dr
Dean Medical Center
Sun Prairie, WI 53590-1239
Mailing address
10 Tower Dr
Dean Medical Center
Sun Prairie, WI 53590-1239
Phone (608) 825-3628
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7747 | Other | WI | DEAN HEALTH INSURANCE |
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 |
|---|---|---|---|
| 2979-026 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257724800000",
"number": "1316124613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 TOWER DR",
"address_2": "DEAN MEDICAL CENTER",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535901239",
"telephone_number": "608-825-3628",
"fax_number": "608-825-3598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 TOWER DR",
"address_2": "DEAN MEDICAL CENTER",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535901239",
"telephone_number": "608-825-3628",
"fax_number": "608-825-3598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROMBLY",
"first_name": "MERRILYN",
"middle_name": "LUCILLE",
"name_prefix": "Ms.",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-29",
"last_updated": "2009-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "2979-026",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH INSURANCE",
"identifier": "7747",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sun Prairie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.