Autumn Merritt

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT871746 Issued in DC

Practice address

3 Washington Cir NW
Ste 110
Washington, DC 20037-2356

Phone

(202) 659-7625

Fax

(202) 659-7740

NPI assigned

Sep 29, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Active Physical Therapy Services, LLC

  • Physical Therapist
  • Laurel, MD
  • NPI 1225217334
  NPD (past)
• Alliance Rehab and Physical Therapy LLC

  • Physical Therapist
  • Fairfax, VA
  • NPI 1568840957
  NPD (past)
• Alliance Rehabilitation, LLC

  dba Alliance Physical Therapy

  • Physical Therapist
  • Herndon, VA
  • NPI 1770799041
  NPD (past)
• Hand Therapy Experts, LLC

  • Occupational Therapist
  • Burke, VA
  • NPI 1366860280
  NPD (past)

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

{
    "created_epoch": "1380412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1649607169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 LYNGATE CT",
            "address_2": "STE 203",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151672",
            "telephone_number": "703-239-2300",
            "fax_number": "703-239-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WASHINGTON CIR NW",
            "address_2": "STE 110",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200372356",
            "telephone_number": "202-659-7625",
            "fax_number": "202-659-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "AUTUMN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-29",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT871746",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23765",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "K949 - 0067",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "8825 - 0036",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ana Elizabeth Merlos
• Fidel Merlos
• Lyssia Merriman
• Wesley Keith Merriman
• Andrea Merriott
• Hassie Leon Merritt
• Jeremiah Devine Merritt
• Nicolas Merritt, DAT, PA-C, ATC
• Banita Merriweather
• Donald Russell Merryfield, DDS

• Physical Therapist in Washington, DC
• Providers in Washington, DC by specialty
• Physical Therapist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.