NPIMap

Organization Active NPI

Micah Gregory Merritt

  • Physical Therapist
  • Whiteville, NC
National Provider Identifier
1912439464
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P11666 Issued in NC
Legal business name
MICAH GREGORY MERRITT
Practice address
812 Pinckney St
Whiteville, NC 28472-3308
Phone
(910) 207-6696
Fax
(910) 207-6773
NPI assigned
Apr 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Authorized official

Name
Dr. Micah Gregory Merritt, DPT, CERT. MDT
Title
Physical Therapist/Owner
Phone
(910) 207-6696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X P11666 NC Primary

Addresses

Primary practice location

812 Pinckney St
Whiteville, NC 28472-3308

Mailing address

812 Pinckney St
Whiteville, NC 28472-3308
Phone (910) 207-6696

Other names 1

  • Renew Health and Physical Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1912439464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 PINCKNEY ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723308",
            "telephone_number": "910-207-6696",
            "fax_number": "910-207-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 PINCKNEY ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723308",
            "telephone_number": "910-207-6696",
            "fax_number": "910-207-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICAH GREGORY MERRITT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "MICAH",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "910-207-6696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, CERT. MDT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P11666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renew Health and Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whiteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.