Active NPI
Miriam Shirley Merlin, OTR/L
- Occupational Therapist
- Greenville, SC
National Provider Identifier
1881795243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2619
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TH1270 | Medicaid | SC |
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 |
|---|---|---|---|
| 2619 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Angels Therapy | Current | 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.
-
- Pediatric Occupational Therapist
- Greenville, SC
- NPI 1053542597
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.