Individual provider Active NPI

Meryl Sullivan, DPT

  • Orthopedic Physical Therapist
  • Plaistow, NH
National Provider Identifier
1891977286
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
3284 Issued in NH
Practice address
73 Newton Rd
Ste 11
Plaistow, NH 03865-2424
Phone
(978) 388-7272
Fax
(978) 388-7373
NPI assigned
Nov 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 3284 NH Primary

Addresses

Primary practice location

73 Newton Rd
Ste 11
Plaistow, NH 03865-2424

Mailing address

73 Newton Rd 101
Plaistow, NH 03865-2440
Phone (978) 388-7272

Other names 1

  • Meryl Smith Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141103000293 NH Practitioner - Physical Therapist in Private Practice 7517188790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Rehabilitation Network LLCGroup PAC ID 7618872086, 105 clinicians

Practice addresses (Care Compare)

421 Daniel Webster Hwy
Merrimack, NH 03054-4138
Phone (603) 262-3305

50 Bridge St
Suite 200
Manchester, NH 03101-1630
Phone (603) 665-9222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3284NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Rehabilitation Network, LLC CurrentSince Sep 28, 2015 Accepting new patients
Pinnacle Rehabilitation Network LLC CurrentSince Sep 28, 2015 Accepting new patients
Pinnacle Rehabilitation Network, LLC Orthopedic Current Accepting new patients
Pinnacle Rehabilitation Network, LLC Past Accepting new patients

Locations

50 Bridge St
Ste 200
Manchester, NH 03101
Phone (603) 665-9222

421 Daniel Webster Hwy
Merrimack, NH 03054
Phone (603) 262-3305

73 Newton Rd
Unit 101
Plaistow, NH 03865
Phone (978) 388-7272

Organizations & group practices 4

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": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1891977286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 NEWTON RD 101",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038652440",
            "telephone_number": "978-388-7272",
            "fax_number": "978-388-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 NEWTON RD",
            "address_2": "STE 11",
            "city": "PLAISTOW",
            "state": "NH",
            "postal_code": "038652424",
            "telephone_number": "978-388-7272",
            "fax_number": "978-388-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MERYL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NH",
            "license": "3284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERYL",
            "last_name": "SMITH",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plaistow, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.