Jane E. Merrill, MS, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

1210 Issued in NM

Practice address

230 Truman St NE
Albuquerque, NM 87108-1333

Phone

(505) 268-9506

NPI assigned

Feb 22, 2007

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• New Mexico School for the Blind and Visually Impaired Early Childhood

  • Community/Behavioral Health Agency
  • Albuquerque, NM
  • NPI 1053460683
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1619002656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 LAFAYETTE PL NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871062140",
            "telephone_number": "505-232-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 TRUMAN ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871081333",
            "telephone_number": "505-268-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "JANE",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "MS, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NM",
            "license": "1210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68339782",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE NUMBER",
            "identifier": "1210",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol Lorraine Merovka, MD
• Michelle Merrett, PA-C
• Stephanie Merrett, SLP
• Kelley Merrick
• Amanda Louise Merrill, BA
• Jayne Merrill, SLP
• Kris Merrill
• Andrea Merriman
• Micah Merriman
• Claire Fontaine Merritt

• Pediatric Physical Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Pediatric Physical Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.