Kristen Nicole Merrill, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040.0134131 Issued in VT

Practice address

1282 Main St
Fairfax, VT 05454-4456

Phone

(802) 849-9308

NPI assigned

Mar 12, 2020

Last updated

Feb 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristen Nicole Merrill Former name

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Rehabgym IncGroup PAC ID 5092619411, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• The Rehabgym Inc

  • Physical Therapist
  • Williston, VT
  • NPI 1750421772
  Medicare reassignment Care Compare group NPD
• Fairfax Family Physical Therapy P.C.

  dba Fairfax Family Physical Therapy P.C. DME

  • Durable Medical Equipment & Medical Supplies
  • Fairfax, VT
  • NPI 1477706257
  NPD (past)

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1386279115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 PANORAMA DR",
            "city": "WINFIELD",
            "state": "PA",
            "postal_code": "178899235",
            "telephone_number": "570-765-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1282 MAIN ST",
            "city": "FAIRFAX",
            "state": "VT",
            "postal_code": "054544456",
            "telephone_number": "802-849-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "KRISTEN",
        "middle_name": "NICOLE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0134131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "MERRILL",
            "middle_name": "NICOLE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacquelyn Lewis, LMT, NCTMB, CCA
• Lisa A Long, DPT
• Teig D Marco, M.D.
• John Paul Marriott, ND
• Liana Merkel, DPT
• Northwestern Medical Center, Inc. (Northwestern Georgia Health Center)
• Kathleen Talbot Santos, PA
• Anne T Standish, N.P.P.
• Summit View Counseling
• Teig Marco (Fairfax Associates in Medicine)

• Physical Therapist in Fairfax, VT
• Providers in Fairfax, VT by specialty
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; 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.