Individual provider Active NPI

Miriam Shirley Merlin, OTR/L

  • Occupational Therapist
  • Greenville, SC
National Provider Identifier
1881795243
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2619 Issued in SC
Practice address
7 Rocky Meadow CT
Greenville, SC 29615-3663
Phone
(864) 275-1679
Fax
(864) 881-4391
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2619 SC Primary

Addresses

Primary practice location

7 Rocky Meadow CT
Greenville, SC 29615-3663

Mailing address

7 Rocky Meadow CT
Greenville, SC 29615-3663
Phone (864) 275-1679

Other identifiers 1

IdentifierTypeStateIssuer
TH1270MedicaidSC

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

LicenseStateTypeSpecialty
2619SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Little Angels Therapy CurrentSince May 16, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1881795243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ROCKY MEADOW CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153663",
            "telephone_number": "864-275-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ROCKY MEADOW CT",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153663",
            "telephone_number": "864-275-1679",
            "fax_number": "864-881-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERLIN",
        "first_name": "MIRIAM",
        "middle_name": "SHIRLEY",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "2619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TH1270",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.