Individual provider Active NPI

Marie Louise Merkx-Quinn, PT, OCS, CERT MDT

  • Physical Therapist
  • Grand Rapids, MI
National Provider Identifier
1326178732
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
L736622 Issued in MI
Practice address
2020 Raybrook St SE
Suite #304
Grand Rapids, MI 49546-7717
Phone
(616) 464-3580
Fax
(616) 464-3581
NPI assigned
Mar 6, 2007
Last updated
Feb 13, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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 L736622 MI Primary

Addresses

Primary practice location

2020 Raybrook St SE
Suite #304
Grand Rapids, MI 49546-7717

Mailing address

2020 Raybrook St SE
Suite #304
Grand Rapids, MI 49546-7717
Phone (616) 464-3580

Other identifiers 2

IdentifierTypeStateIssuer
0D15723OtherMIBLUE CARE NETWORK
650D157230OtherMIBCBS OF MI

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

LicenseStateTypeSpecialty
L736622MIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1326178732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 RAYBROOK ST SE",
            "address_2": "SUITE #304",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467717",
            "telephone_number": "616-464-3580",
            "fax_number": "616-464-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 RAYBROOK ST SE",
            "address_2": "SUITE #304",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467717",
            "telephone_number": "616-464-3580",
            "fax_number": "616-464-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERKX-QUINN",
        "first_name": "MARIE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "PT, OCS, CERT MDT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "L736622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "0D15723",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "650D157230",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.