Individual provider Active NPI

Christopher Ryan Merkel, DPT

  • Physical Therapist
  • Odenton, MD
National Provider Identifier
1720624273
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27733 Issued in MD
Practice address
1360 Blair Dr Unit D
Odenton, MD 21113-1343
Phone
(410) 672-8970
NPI assigned
Nov 20, 2019
Last updated
Dec 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 27733 MD Primary

Addresses

Primary practice location

1360 Blair Dr Unit D
Odenton, MD 21113-1343

Mailing address

1360 Blair Dr
Unit D
Odenton, MD 21113-1343
Phone (410) 672-8970

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200114001849 MD Practitioner - Physical Therapist in Private Practice 2668807926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1360 Blair Dr
D
Odenton, MD 21113-1343
Phone (410) 672-8970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27733MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Maximum Performance Physical Therapy, Inc Physical Therapist CurrentSince Dec 10, 2019 Accepting new patients
Maximum Performance Physical Therapy, Inc Physical Therapist CurrentSince Dec 10, 2019 Accepting new patients
Maximum Performance Physical Therapy, Inc Physical Therapist Past Accepting new patients

Locations

14435 Cherry Lane Ct
Ste 100
Laurel, MD 20707
Phone (301) 776-3665

14504 Greenview Dr
Ste 106
Laurel, MD 20708
Phone (301) 776-3665

1360 Blair Dr
#D
Odenton, MD 21113
Phone (410) 672-8970

1360 Blair Dr
Ste D
Odenton, MD 21113
Phone (410) 672-8970

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1720624273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 BLAIR DR",
            "address_2": "UNIT D",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131343",
            "telephone_number": "410-672-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 BLAIR DR UNIT D",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131343",
            "telephone_number": "410-672-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERKEL",
        "first_name": "CHRISTOPHER",
        "middle_name": "RYAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odenton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.

Verify at the official NPI Registry.