Individual provider Active NPI

Susan Merriman

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1326266446
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6589 Issued in AZ
Practice address
9917 N 95TH St
Scottsdale, AZ 85258-4586
Phone
(480) 314-1553
Fax
(480) 314-5795
NPI assigned
Apr 23, 2007
Last updated
Feb 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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 6589 AZ Primary

Addresses

Primary practice location

9917 N 95TH St
Scottsdale, AZ 85258-4586

Mailing address

1138 W Redondo Dr
Gilbert, AZ 85233-7553

Other identifiers 1

IdentifierTypeStateIssuer
036551OtherAZMEDICARE PROVIDER ID NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050427000550 AZ Practitioner - Physical Therapist in Private Practice 4284673443 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHSM Rehabilitation LLCGroup PAC ID 2062773138, 450 clinicians

Practice addresses (Care Compare)

7400 N Dobson Rd
Suite 103
Scottsdale, AZ 85256-2769
Phone (602) 613-9133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6589AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BHSM Rehabilitation, LLC Current Accepting new patients
BHSM Rehabilitation, LLC CurrentSince Jan 20, 2024 Accepting new patients
Kinect Physical Therapy, PLLC Physical Therapist CurrentSince May 3, 2023 Accepting new patients
Rehab Plus Orthopedics, LLC Past Accepting new patients
Physiotherapy Associates Inc Past Accepting new patients

Locations

1828 E Florence Blvd
Ste 102
Casa Grande, AZ 85122
Phone (520) 381-6300

950 E Riggs Rd
Ste 1
Chandler, AZ 85249
Phone (480) 802-8730

3507 S Mercy Rd
Ste 105
Gilbert, AZ 85297
Phone (480) 926-0404

3507 S Mercy Rd
Ste A
Gilbert, AZ 85297
Phone (480) 926-0404

21300 N John Wayne Pkwy
Ste 107
Maricopa, AZ 85139
Phone (480) 899-9829

4050 E Cotton Center Blvd
Ste 18
Phoenix, AZ 85040
Phone (480) 653-8200

37200 N Gantzel Rd
Ste 260
San Tan Valley, AZ 85140
Phone (480) 677-3294

10121 E Bell Rd
Ste 140
Scottsdale, AZ 85260
Phone (480) 419-3500

7400 N Dobson Rd
Ste 103
Scottsdale, AZ 85256
Phone (602) 613-9133

Organizations & group practices 6

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1326266446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 W REDONDO DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852337553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9917 N 95TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584586",
            "telephone_number": "480-314-1553",
            "fax_number": "480-314-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRIMAN",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER ID NUMBER",
            "identifier": "036551",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; 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.