Individual provider Active NPI

Gussie Merritt, PT, DPT

  • Physical Therapist
  • Lihue, HI
National Provider Identifier
1326459363
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5564 Issued in HI
Practice address
3-1866 Kaumualii Hwy
Lihue, HI 96766-8606
Phone
(808) 823-9300
NPI assigned
May 13, 2014
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1241398 TX
Physical Therapist 225100000X 5564 HI Primary

Addresses

Primary practice location

3-1866 Kaumualii Hwy
Lihue, HI 96766-8606

Mailing address

3-1866 Kaumualii Hwy # 400
Lihue, HI 96766-8606
Phone (808) 823-9300

Other practice location 1

1500 Jackson St
400
Richmond, TX 77469-3668
Phone (281) 344-8900

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
5564HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PT Care Specialists LLC Physical Therapist CurrentSince Apr 1, 2021 Accepting new patients
Pure Motion Physical Therapy LLC Physical Therapist Past Accepting new patients

Locations

1500 Jackson St
Ste 400
Richmond, TX 77469
Phone (281) 344-8900

26440 FM 1093 Rd
Ste A180
Richmond, TX 77406
Phone (281) 344-8900

Organizations & group practices 2

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": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1326459363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3-1866 KAUMUALII HWY # 400",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967668606",
            "telephone_number": "808-823-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3-1866 KAUMUALII HWY",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967668606",
            "telephone_number": "808-823-9300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Jackson St",
            "address_2": "400",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774693668",
            "country_code": "US",
            "telephone_number": "281-344-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "GUSSIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "1241398",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "5564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.