Active NPI
Meryl Sullivan, DPT
- Orthopedic Physical Therapist
- Plaistow, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 3284
- 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
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 |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3284 | NH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Rehabilitation Network, LLC | Current | Accepting new patients | |
| Pinnacle Rehabilitation Network LLC | Current | 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.
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- NPI 1447597430
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- Physical Therapist
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- NPI 1235940388
-
- Physical Therapist
- Merrimack, NH
- NPI 1770674780
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.