Organization Active NPI

Radiant Osteopathy LLC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Corvallis, OR
National Provider Identifier
1396613170
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
Legal business name
RADIANT OSTEOPATHY LLC
Practice address
456 SW Monroe Ave Ste 114
Corvallis, OR 97333-7207
Phone
(720) 234-7696
NPI assigned
Oct 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Dr. Katherine Merkle, DONPI 1134415292
Title
Owner/Provider
Phone
(541) 348-6946

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 204D00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

456 SW Monroe Ave Ste 114
Corvallis, OR 97333-7207

Mailing address

456 SW Monroe Ave Ste 114
Corvallis, OR 97333-7207
Phone (541) 348-6946

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260316003719 OR Part B Supplier - Clinic/Group Practice 6608359807 Receives reassigned benefits from 1 practitioner
Practice locations: Corvallis, OR

National Provider Directory

National Provider Directory

Locations

456 SW Monroe Ave
Ste 114
Corvallis, OR 97333
Phone (720) 234-7696

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1396613170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 SW MONROE AVE STE 114",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973337207",
            "telephone_number": "541-348-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 SW MONROE AVE STE 114",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973337207",
            "telephone_number": "720-234-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT OSTEOPATHY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-24",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "MERKLE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "541-348-6946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.