Vladislav Merkulov, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT.0005170 Issued in CO

Practice address

15942 E Otero Cir
Centennial, CO 80112-4761

Phone

(720) 935-2713

NPI assigned

Mar 2, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Peak to Peak Home Healthcare, LLC

  • Home Health Agency
  • Centennial, CO
  • NPI 1811729809
  NPD Authorized official

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1447845367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15942 E OTERO CIR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124761",
            "telephone_number": "720-935-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15942 E OTERO CIR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124761",
            "telephone_number": "720-935-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERKULOV",
        "first_name": "VLADISLAV",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0005170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mental Health America of Colorado
• Sanaz Merchi, DMD
• Carson Meredith, LPCC
• Michele Merhib
• Bernadine Merker, MS LCSW
• Christine Alison Merritt, FNP-BC
• Bonnie J Messer, PH.D.
• Metro Smiles P.C.
• Donald A Metzger, OD
• Gabriela Metzler, PSYD

• Occupational Therapist in Centennial, CO
• Providers in Centennial, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.