Brian David Merritt, P.T.
Individual provider Active NPI Physical Therapist · Fifield, WI
NPI 1659522803 · NPPES record last updated Oct 7, 2008
Key facts
- NPI
- 1659522803
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 4650-024 (WI)
- Practice address
- W 7002 Highway 70
Fifield, WI 54524 - Phone
- (715) 762-1516
- NPI assigned
- Oct 7, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4650-024 | WI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 4650-024 | WI | Yes |
Addresses
Primary practice location
W 7002 Highway 70
Fifield, WI 54524
Mailing address
PO Box 92
Fifield, WI 54524
Phone (715) 367-3978
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.