Nathan Mertick, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40960 Issued in CA

Practice address

40 Centerpointe Dr
La Palma, CA 90623-1028

Phone

(714) 522-8020

NPI assigned

Apr 29, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1679983761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 N EUCLID ST",
            "address_2": "APT 316",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928014148",
            "telephone_number": "972-814-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CENTERPOINTE DR",
            "city": "LA PALMA",
            "state": "CA",
            "postal_code": "906231028",
            "telephone_number": "714-522-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTICK",
        "first_name": "NATHAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "40960",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1212470",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Menchaca
• Briana Mendez
• Camille Joy Reyes Mendoza
• Gema Mendoza
• Wendy Giselle Mendoza
• Kailey Mertz
• Alexia Meza
• Michael S Bold OD Inc
• Nancy Michler, P.T., O.C.S.
• Milk & Honey Pharmacy Inc. (honey pharmacy)

• Physical Therapist in La Palma, CA
• Providers in La Palma, CA by specialty
• Physical Therapist in California

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

Verify at the official NPI Registry.