Individual provider Active NPI

Lori Merlo, PT, DPT, ATC, LAT

  • Physical Therapist
  • Londonderry, NH
National Provider Identifier
1689187064
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4730 Issued in NH
Practice address
6 Buttrick Rd Ste 100
Londonderry, NH 03053-3417
Phone
(603) 537-1700
Fax
(603) 537-1777
NPI assigned
Nov 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 24980 MA
Athletic Trainer 2255A2300X MA
Athletic Trainer 2255A2300X 3058 MA
Physical Therapist 225100000X 4730 NH Primary

Addresses

Primary practice location

6 Buttrick Rd Ste 100
Londonderry, NH 03053-3417

Mailing address

73 Newton Rd Unit 101
Plaistow, NH 03865-2440
Phone (978) 388-7272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240508000131 MA Practitioner - Physical Therapist in Private Practice 4789092644 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Complete Game Physical Therapy PCGroup PAC ID 0244514305, 8 clinicians

Practice addresses (Care Compare)

20 Carter St
Tewksbury, MA 01876-1404

73 Princeton St
Suite 8
North Chelmsford, MA 01863-1558
Phone (978) 710-7204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24980MAMDPhysical Therapist
4730NHMDPhysical Therapist
3058MAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Game Physical Therapy, PC Physical Therapist CurrentSince Mar 10, 2024 Accepting new patients
Inner Potential Physical Therapy PLLC Current Accepting new patients

Locations

1703 Middlesex St
Lowell, MA 01851
Phone (978) 710-7204

73 Princeton St
Unit 8
North Chelmsford, MA 01863

73 Princeton St
Ste 8
North Chelmsford, MA 01863
Phone (978) 710-7204

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1689187064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 NEWTON RD UNIT 101",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038652440",
            "telephone_number": "978-388-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BUTTRICK RD STE 100",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030533417",
            "telephone_number": "603-537-1700",
            "fax_number": "603-537-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERLO",
        "first_name": "LORI",
        "credential": "PT, DPT, ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-08",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "24980",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "3058",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "4730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.