Active NPI
Merle Thomas Reed, PT
- Physical Therapist
- Van Nuys, CA
National Provider Identifier
1750301917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT11474
- Practice address
- 7232 Van Nuys Blvd
Suite 103
Van Nuys, CA 91405-2231 - Phone
- (818) 786-9012
- Fax
- (818) 786-5729
- NPI assigned
- Jul 20, 2006
- Last updated
- Jul 31, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT11474 | CA | Primary |
Addresses
Primary practice location
7232 Van Nuys Blvd
Suite 103
Van Nuys, CA 91405-2231
Mailing address
22746 Ventura Blvd # 358
Woodland Hills, CA 91364-1333
Phone (818) 786-9012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11474 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Socal Hospice Services, Inc. | Past | Accepting new patients | |
| Active Body Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
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.
-
dba Orthopeadic Rehabilitation & Sports Medicine Center
- Physical Therapy Clinic/Center
- Van Nuys, CA
- NPI 1649320813
-
- Community Based Hospice Care Agency
- Glendale, CA
- NPI 1720412794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375228800000",
"number": "1750301917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22746 VENTURA BLVD # 358",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913641333",
"telephone_number": "818-786-9012",
"fax_number": "818-786-5729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7232 VAN NUYS BLVD",
"address_2": "SUITE 103",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914052231",
"telephone_number": "818-786-9012",
"fax_number": "818-786-5729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "MERLE",
"middle_name": "THOMAS",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2013-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT11474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.