Active NPI
William Shannon Merrick, PT, ATC
- Physical Therapist
- Lutz, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT10305
- Practice address
- 21756 State Road 54 Ste 102
Lutz, FL 33549-2905 - Phone
- (813) 279-6234
- Fax
- (888) 492-7854
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AL 1709 | FL | |
| Physical Therapist | 225100000X | PT10305 | FL | Primary |
| Orthopedic Physical Therapist | 2251X0800X | PT-0010305 | FL |
Addresses
Primary practice location
21756 State Road 54 Ste 102
Lutz, FL 33549-2905
Mailing address
21756 State Road 54 Ste 102
Lutz, FL 33549-2905
Phone (813) 279-6234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21756 State Rd
54 Suite 102
Lutz, FL 33549-2905
Phone (813) 279-6234
701 6TH St S
St Petersburg, FL 33701-4814
Phone (727) 823-1234
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT10305 | FL | MD | Physical Therapist |
| PT-0010305 | FL | MD | Orthopedic Physical Therapist |
| AL 1709 | FL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimal Performance and Physical Therapies-Lutz, LLC | Physical Therapist | Current | Accepting new patients |
| Ohi West Medical Group, LLC | Current | Accepting new patients | |
| Ohi West Medical Group, LLC | Current | Accepting new patients |
Locations
21756 State Road 54
Ste 102
Lutz, FL 33549
Phone (813) 279-6234
701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- St Petersburg, FL
- NPI 1518572551
-
- Physical Therapy Clinic/Center
- Lutz, FL
- NPI 1821429911
Physical Therapist
-
- Radiology Clinic/Center
- St Petersburg, FL
- NPI 1285240192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772150400000",
"number": "1720115405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21756 STATE ROAD 54 STE 102",
"city": "LUTZ",
"state": "FL",
"postal_code": "335492905",
"telephone_number": "813-279-6234",
"fax_number": "888-492-7854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21756 STATE ROAD 54 STE 102",
"city": "LUTZ",
"state": "FL",
"postal_code": "335492905",
"telephone_number": "813-279-6234",
"fax_number": "888-492-7854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRICK",
"first_name": "WILLIAM",
"middle_name": "SHANNON",
"name_prefix": "Mr.",
"credential": "PT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "FL",
"license": "AL 1709",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT10305",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "PT-0010305",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lutz, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.