Tanya Renee Merrill, PHYSICALTHERAPY ASST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1363 Issued in AR

Practice address

4505 N Rudy Rd
Van Buren, AR 72956-9062

Phone

(479) 474-4011

Fax

(479) 474-4044

NPI assigned

Nov 7, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tanya Osburn Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Deborah Ashworth PA

  • Physical Therapist
  • Alma, AR
  • NPI 1780654764
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710056650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 SO P ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72903",
            "telephone_number": "479-783-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 N RUDY RD",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729569062",
            "telephone_number": "479-474-4011",
            "fax_number": "479-474-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "TANYA",
        "middle_name": "RENEE",
        "credential": "PHYSICALTHERAPY ASST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "1363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "OSBURN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nicole Medina, LCSW
• James Robert Medlyn, PTA
• Angie Melgar
• Memory Lane, Inc.
• Winter Mendenhall
• Kristen Nicole Meyer
• Hannah Camille Meyers, OT
• Alejandra Jeanette Meza
• Gloria Jean Miller, PSY.D.
• Carol Ann Mills, OTR/L

• Physical Therapist in Van Buren, AR
• Providers in Van Buren, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.