Individual provider Active NPI

Mackenzie Taylor Merkel, PT

  • Physical Therapist
  • Boonton, NJ
National Provider Identifier
1801554183
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA02057600 Issued in NJ
Practice address
315 Wootton St # Ij
Boonton, NJ 07005-1939
Phone
(973) 794-6040
NPI assigned
Dec 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2021

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 40QA02057600 NJ Primary

Addresses

Primary practice location

315 Wootton St # Ij
Boonton, NJ 07005-1939

Mailing address

315 Wootton St # Ij
Boonton, NJ 07005-1939
Phone (973) 794-6040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211209002803 NJ Practitioner - Physical Therapist in Private Practice 9638569411 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ferraro Spine and Rehabilitation PCGroup PAC ID 4082503875, 9 clinicians
Fox Rehabilitation Services IncGroup PAC ID 0143133009, 1,169 clinicians

Practice addresses (Care Compare)

230 Midland Ave
Saddle Brook, NJ 07663-6404
Phone (973) 478-2212

872 E Main St
Bridgewater, NJ 08807-3395
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
VG Physical Therapy CurrentSince Jan 20, 2025 Accepting new patients
Edge Physical Therapy and Sports Medicine LLC Physical Therapist CurrentSince Jan 9, 2023 Accepting new patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Jan 1, 2026 Accepting new patients
Ferraro Spine & Rehabilitation, PC Physical Therapist CurrentSince Jan 20, 2025 Accepting new patients

Locations

872 E Main St
Bridgewater, NJ 08807
Phone (908) 725-2995

80 E State Rt 4
Ste 100
Paramus, NJ 07652
Phone (201) 255-4040

407 W Delilah Rd
Pleasantville, NJ 08232
Phone (609) 289-2331

230 Midland Ave
Saddle Brook, NJ 07663
Phone (973) 478-2122

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1801554183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 WOOTTON ST # IJ",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070051939",
            "telephone_number": "973-794-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 WOOTTON ST # IJ",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070051939",
            "telephone_number": "973-794-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERKEL",
        "first_name": "MACKENZIE",
        "middle_name": "TAYLOR",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA02057600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boonton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.