Christian Meyer Mercill, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

38233 Issued in CA

Practice address

1920 Barney Rd
Anderson, CA 96007-4337

Phone

(530) 365-2142

Fax

(530) 365-5655

NPI assigned

Oct 18, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Elevate Physical Therapy Inc

  • Physical Therapist
  • Anderson, CA
  • NPI 1114538782
  NPD (past)
• Kevin Snider Physical Therapy, Inc

  • Physical Therapist
  • Anderson, CA
  • NPI 1578528261
  NPD (past)

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1699050997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 BARNEY RD",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "960074337",
            "telephone_number": "530-365-2142",
            "fax_number": "530-365-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 BARNEY RD",
            "city": "ANDERSON",
            "state": "CA",
            "postal_code": "960074337",
            "telephone_number": "530-365-2142",
            "fax_number": "530-365-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCILL",
        "first_name": "CHRISTIAN",
        "middle_name": "MEYER",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA PT LICENSE",
            "identifier": "PT38233",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tranesha Mautz, LCSW
• Angela McPherson
• Kendra Aislinn Meade
• Kerri B Medel, MFT
• Nirmal Singh Mehton, MD
• Danene Renee Mercill, DDS
• Sydney Montenegro
• Mickalla Moore, LVN
• Daniel Murolo, M.S., D.D.S
• Melanie B Murphy, OTR/L

• Physical Therapist in Anderson, CA
• Providers in Anderson, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.