Active NPI
Lyri L Merrill, PT
- Orthopedic Physical Therapist
- Swansea, IL
National Provider Identifier
1467562926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 070-016066
- Practice address
- 4 Executive Woods CT
Suite C
Swansea, IL 62226-2016 - Phone
- (618) 444-2846
- Fax
- (618) 239-6444
- NPI assigned
- Aug 30, 2006
- Last updated
- Feb 24, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 112199 | MO | |
| Orthopedic Physical Therapist | 2251X0800X | 070-016066 | IL | Primary |
Addresses
Primary practice location
4 Executive Woods CT
Suite C
Swansea, IL 62226-2016
Mailing address
4 Executive Woods CT
Suite C
Swansea, IL 62226-2016
Phone (618) 444-2846
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070-016066 | IL | MD | Orthopedic Physical Therapist |
| 112199 | MO | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anam Healing Arts, LLC | Past | Accepting new patients | |
| Ashley a Gaines DC, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Swansea, IL
- NPI 1497295026
-
- Chiropractor
- Swansea, IL
- NPI 1831435080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487894400000",
"number": "1467562926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 EXECUTIVE WOODS CT",
"address_2": "SUITE C",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622262016",
"telephone_number": "618-444-2846",
"fax_number": "618-239-6444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 EXECUTIVE WOODS CT",
"address_2": "SUITE C",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622262016",
"telephone_number": "618-444-2846",
"fax_number": "618-239-6444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRILL",
"first_name": "LYRI",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2017-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MO",
"license": "112199",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IL",
"license": "070-016066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Swansea, IL
- Menm, LLC (Miracle-Ear)
- Mental Health Resilience Group
- Mercy Rehab and Care Center, Inc. (Rosewood Care Center of Swansea)
- Mercy Senior Care Center LLC (Mercy Rehab & Care Center)
- Rebecca Anne Meredith, MOTR/L
- Michael Murphy, OD Vision Care Associates, LTD (Vision Care Associates)
- Midwest Advanced Behavioral Health PLLC
- Midwestern Hospice LLC (Midwestern Hospice)
- Milestones Behavioral Health Services, LLC
- Kristin Ann Miller, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.