Active NPI
Loretta Anne Merriman, LMT, PTA
- Massage Therapist
- Kalispell, MT
National Provider Identifier
1821391897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 1039
- Practice address
- 1711 Bison Dr
Kalispell, MT 59901-5104 - Phone
- (406) 890-2758
- NPI assigned
- Dec 14, 2010
- Last updated
- Jan 27, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 7693 | MT | |
| Massage Therapist | 225700000X | 1039 | MT | Primary |
Addresses
Primary practice location
1711 Bison Dr
Kalispell, MT 59901-5104
Mailing address
1711 Bison Dr
Kalispell, MT 59901-5104
Phone (406) 890-2758
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1039 | MT | MD | Clinical Social Worker |
| 7693 | MT | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422316800000",
"number": "1821391897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 BISON DR",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599015104",
"telephone_number": "406-890-2758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 BISON DR",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599015104",
"telephone_number": "406-890-2758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRIMAN",
"first_name": "LORETTA",
"middle_name": "ANNE",
"credential": "LMT, PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-14",
"last_updated": "2015-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MT",
"license": "7693",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MT",
"license": "1039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.