Individual provider Active NPI

Michelle E Merritt, PT, DPT

  • Physical Therapist
  • Reno, NV
National Provider Identifier
1376799734
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2494 Issued in NV
Practice address
13645 Mount Baldy St
Reno, NV 89506
Phone
(775) 624-4429
NPI assigned
Aug 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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 2494 NV Primary

Addresses

Primary practice location

13645 Mount Baldy St
Reno, NV 89506

Mailing address

13645 Mount Baldy St
Reno, NV 89506-1408
Phone (775) 624-4429

Other identifiers 1

IdentifierTypeStateIssuer
1376799734MedicaidNV

Other names 1

  • Michelle E Rey Former name

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
2494NVMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Allergy PastSince Mar 1, 2021 Accepting new patients
Belding Physical Therapy LLC Physical Therapist Past Accepting new patients
Wildwood Physical Therapy Inc PastSince May 1, 2007 Accepting new patients
New Edge Physical Therapy Inc Physical Therapist PastSince Oct 27, 2019 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1218758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1376799734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13645 MOUNT BALDY ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895061408",
            "telephone_number": "775-624-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13645 MOUNT BALDY ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89506",
            "telephone_number": "775-624-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "MICHELLE",
        "middle_name": "E",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-15",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376799734",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "REY",
            "middle_name": "E",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.

Verify at the official NPI Registry.