Active NPI
Michael Kenneth Merryman
- Physical Therapist
- Orlando, FL
National Provider Identifier
1871339275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT41661
- Practice address
- 12421 S Orange Blossom TRL
Orlando, FL 32837-6508 - Phone
- (407) 859-5656
- NPI assigned
- Jul 4, 2024
- Last updated
- Jul 9, 2024
- 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 | PT41661 | FL | Primary |
Addresses
Primary practice location
12421 S Orange Blossom TRL
Orlando, FL 32837-6508
Mailing address
6886 Integra Cove Blvd Apt 424
Orlando, FL 32821-8906
Phone (949) 235-1448
Other practice location 1
4780 N Orange Blossom Trl
Orlando, FL 32810-1601
Phone (414) 359-0800
Other practice location 2
8119 S Orange Ave Ste 132
Orlando, FL 32809-6706
Phone (407) 851-0883
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 |
|---|---|---|---|
| PT41661 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care P.a. | Past | Accepting new patients |
Organizations & group practices 1
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 Concentra Urgent Care
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720483200000",
"number": "1871339275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6886 INTEGRA COVE BLVD APT 424",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328218906",
"telephone_number": "949-235-1448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12421 S ORANGE BLOSSOM TRL",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328376508",
"telephone_number": "407-859-5656"
}
],
"practiceLocations": [
{
"address_1": "4780 N Orange Blossom Trl",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328101601",
"country_code": "US",
"telephone_number": "414-359-0800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8119 S Orange Ave Ste 132",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328096706",
"country_code": "US",
"telephone_number": "407-851-0883",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERRYMAN",
"first_name": "MICHAEL",
"middle_name": "KENNETH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-04",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT41661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.