Active NPI
Michelle Denise Merrick, OTD
- Physical Medicine & Rehabilitation Physician
- O'Fallon, IL
National Provider Identifier
1669389052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 056.027236
- Practice address
- 1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099 - Phone
- (618) 234-2120
- NPI assigned
- Aug 24, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 056.027236 | IL | Primary |
Addresses
Primary practice location
1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Mailing address
1 Saint Elizabeth Blvd
O Fallon, IL 62269-1099
Phone (618) 234-2120
Other names 1
- Michelle Denise Dolan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1669389052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SAINT ELIZABETH BLVD",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691099",
"telephone_number": "618-234-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SAINT ELIZABETH BLVD",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691099",
"telephone_number": "618-234-2120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRICK",
"first_name": "MICHELLE",
"middle_name": "DENISE",
"credential": "OTD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": "056.027236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "DOLAN",
"middle_name": "DENISE",
"credential": "OTD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in O'Fallon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.