Lucrecia L. Mervine, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

9109 Mendenhall Mall Rd
Suite 5K
Juneau, AK 99801-7136

Phone

(814) 242-9062

Fax

(907) 789-5577

NPI assigned

Jan 23, 2008

Last updated

Jun 25, 2021By 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

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Juneau Aesthetics & Wellness LLC

  • Specialist
  • Juneau, AK
  • NPI 1144101981
  NPD (past)
• Juneau Bone & Joint Center, LLC.

  • Orthopaedic Surgery Physician
  • Juneau, AK
  • NPI 1699808139
  NPD (past)
• Pleasants Integrative Health Consultants

  • Psychiatric/Mental Health Nurse Practitioner
  • Juneau, AK
  • NPI 1619644846
  NPD (past)

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1730366568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4946 STEELHEAD ST",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018728",
            "telephone_number": "814-242-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9109 MENDENHALL MALL RD",
            "address_2": "SUITE 5K",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017136",
            "telephone_number": "814-242-9062",
            "fax_number": "907-789-5577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10004 Glacier Hwy",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "998018560",
            "country_code": "US",
            "telephone_number": "907-789-5556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERVINE",
        "first_name": "LUCRECIA",
        "middle_name": "L.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Mellors
• Henry Melville
• Barbara Sue Mercer, CDCII
• Sabrina Meredith, RN
• Keith William Merrifield, LCSW
• Janice Mesdag Church, LCSW, CDCI
• Frank Fir Mesdag, FRANK MESDAG
• Forrest Bates Messerschmidt, O.D.
• Stacey Messerschmidt
• Steven D. Messerschmidt, D.C.

• Physical Therapist in Juneau, AK
• Providers in Juneau, AK by specialty
• Physical Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; 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.