Active NPI
Amy M Merry, PT
- Physical Therapist
- Westerville, OH
National Provider Identifier
1326023748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 003963
- Practice address
- 101 Westerville PLZ
Westerville, OH 43081-2882 - Phone
- (614) 791-8015
- Fax
- (614) 794-3552
- NPI assigned
- Dec 8, 2005
- 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 | PT 003963 | OH | Primary |
Addresses
Primary practice location
101 Westerville PLZ
Westerville, OH 43081-2882
Mailing address
625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 575-6200
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2614488 | Medicaid | OH | |
| 311356625029 | Other | OH | CARESOURCE MCO |
| 000000372031 | Other | OH | ANTHEM PROVIDER NUMBER |
| 23-2804807 | Other | OH | REHAB PROVIDER NETWORK |
| 31-1356625 | Other | OH | GREAT WEST PROVIDER NUMBE |
| 685840 | Other | OH | UHC |
| 9400939 | Other | OH | PHCS NETWORK |
| 11648861 | Other | OH | CAQH NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 003963 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1326023748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 ENTERPRISE DR",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605238813",
"telephone_number": "630-575-6200",
"fax_number": "630-928-5080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 WESTERVILLE PLZ",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430812882",
"telephone_number": "614-791-8015",
"fax_number": "614-794-3552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRY",
"first_name": "AMY",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT 003963",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2614488",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE MCO",
"identifier": "311356625029",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000372031",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REHAB PROVIDER NETWORK",
"identifier": "23-2804807",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST PROVIDER NUMBE",
"identifier": "31-1356625",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "685840",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS NETWORK",
"identifier": "9400939",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH NUMBER",
"identifier": "11648861",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.