Active NPI
Janine Merkitch, PT
- Physical Therapist
- La Crosse, WI
National Provider Identifier
1669860698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3697-24
- Practice address
- 2575 7TH St S
La Crosse, WI 54601-5249 - Phone
- (608) 406-3951
- NPI assigned
- Dec 29, 2014
- 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 Therapist | 225100000X | 3697-24 | WI | Primary |
Addresses
Primary practice location
2575 7TH St S
La Crosse, WI 54601-5249
Mailing address
W5732 Heatherwood PL
La Crosse, WI 54601-2476
Phone (608) 788-6745
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40383200 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3697-24 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419811200000",
"number": "1669860698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W5732 HEATHERWOOD PL",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546012476",
"telephone_number": "608-788-6745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2575 7TH ST S",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546015249",
"telephone_number": "608-406-3951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERKITCH",
"first_name": "JANINE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-29",
"last_updated": "2014-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "3697-24",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40383200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.