Active NPI
Kelsey Merritt
- Physical Therapist
- Cambridge, MA
National Provider Identifier
1346712486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23025
- Practice address
- 640 Concord Ave
Cambridge, MA 02138-1116 - Phone
- (617) 497-0600
- NPI assigned
- Dec 31, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 23025 | MA | Primary |
Addresses
Primary practice location
640 Concord Ave
Cambridge, MA 02138-1116
Mailing address
1933 Commonwealth Ave Apt 305
Brighton, MA 02135-5940
Phone (151) 846-9587
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23025 | Other | MA | PT LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546214400000",
"number": "1346712486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1933 COMMONWEALTH AVE APT 305",
"city": "BRIGHTON",
"state": "MA",
"postal_code": "021355940",
"telephone_number": "151-846-9587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 CONCORD AVE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021381116",
"telephone_number": "617-497-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRITT",
"first_name": "KELSEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-31",
"last_updated": "2018-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "23025",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "23025",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.