Individual provider Active NPI

Shannon Merkle, PHD, OTR/L, CHT

  • Occupational Therapist
  • Natick, MA
National Provider Identifier
1720040181
Registry record updated Feb 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3344 Issued in SC
Practice address
10 General Greene Ave, BLDG 42
Military Performance Division, Usariem
Natick, MA 01760
Phone
(508) 206-2347
NPI assigned
Apr 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 01086 IA
Occupational Therapist 225X00000X 1024550
Hand Occupational Therapist 225XH1200X 1071100331
Occupational Therapist 225X00000X 3344 SC Primary

Addresses

Primary practice location

10 General Greene Ave, BLDG 42
Military Performance Division, Usariem
Natick, MA 01760

Mailing address

10 General Greene Ave, BLDG 42
Military Performance Division, Usariem
Natick, MA 01760
Phone (508) 206-2347

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
01086IAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Bone and Joint Occupational Therapist PastSince Feb 23, 2025 Accepting new patients

Organizations & group practices 1

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582848000000",
    "number": "1720040181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GENERAL GREENE AVE, BLDG 42",
            "address_2": "MILITARY PERFORMANCE DIVISION, USARIEM",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "01760",
            "telephone_number": "508-206-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GENERAL GREENE AVE, BLDG 42",
            "address_2": "MILITARY PERFORMANCE DIVISION, USARIEM",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "01760",
            "telephone_number": "508-206-2347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERKLE",
        "first_name": "SHANNON",
        "credential": "PHD, OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2020-02-28",
        "certification_date": "2020-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IA",
            "license": "01086",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": "1024550",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": "1071100331",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "3344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2020; 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.