Active NPI
Shannon Merkle, PHD, OTR/L, CHT
- Occupational Therapist
- Natick, MA
National Provider Identifier
1720040181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3344
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 01086 | IA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Bone and Joint | Occupational Therapist | Past | 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.
-
- Orthopaedic Surgery Physician
- Newberry, SC
- NPI 1720295793
Occupational Therapist
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.