Tracey A Merrill, P.T., O.C.S, ATC-L

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT1180 Issued in ME

Practice address

161 Ocean St
South Portland, ME 04106-3623

Phone

(207) 799-8226

NPI assigned

Jun 7, 2006

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

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Casco Bay Physical Therapy PAGroup PAC ID 4587765367, 6 clinicians

Azele LimitedGroup PAC ID 8022526722, 6 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 and National Provider Directory roles.

• Azele Limited

  • Physical Therapist
  • Falmouth, ME
  • NPI 1760206155
  Medicare reassignment Care Compare group NPD
• Casco Bay Physical Therapy PA

  • Physical Therapist
  • Falmouth, ME
  • NPI 1346261070
  Medicare reassignment Care Compare group NPD
• Maine Strong Physical Therapy PA

  • Physical Therapist
  • South Portland, ME
  • NPI 1841669660
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609816610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VALLEY ST",
            "address_2": "#1",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041064320",
            "telephone_number": "207-799-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 OCEAN ST",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063623",
            "telephone_number": "207-799-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "TRACEY",
        "middle_name": "A",
        "credential": "P.T., O.C.S, ATC-L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT1180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa N Libby FNP LLC
• Thomas Mellow, M.D.
• Lauren Kathryn Anzalone Menard, NP
• Mikeal Freedom Mercedes, RNFA
• Kayci Mero, ADCA
• Colette Marie Merritt
• Stephen A Mette, M.D.
• Michael D & Sheila H Littlefield
• Michael T. Ruetty DDS, LLC
• Todd M. Michaelis, MD

• Physical Therapist in South Portland, ME
• Providers in South Portland, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.