Active NPI
Samantha Jo Merlo, DPT
- Physical Therapist
- Saint Louis, MO
National Provider Identifier
1891494472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2023004469
- Practice address
- 10859 W Florissant Ave
Saint Louis, MO 63136-2405 - Phone
- (314) 521-3000
- NPI assigned
- Mar 2, 2023
- Sex
- Female
- 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 | 2023004469 | MO | Primary |
Addresses
Primary practice location
10859 W Florissant Ave
Saint Louis, MO 63136-2405
Mailing address
1056 Seasons Ridge CT
Fenton, MO 63026-3996
Phone (314) 365-4636
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 |
|---|---|---|---|
| 2023004469 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677715200000",
"number": "1891494472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1056 SEASONS RIDGE CT",
"city": "FENTON",
"state": "MO",
"postal_code": "630263996",
"telephone_number": "314-365-4636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10859 W FLORISSANT AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631362405",
"telephone_number": "314-521-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERLO",
"first_name": "SAMANTHA",
"middle_name": "JO",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-02",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2023004469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.