Individual provider Active NPI

Stacey Merkling, P.T., D.P.T.

  • Physical Therapist
  • Issaquah, WA
National Provider Identifier
1912450347
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60630287 Issued in WA
Practice address
22526 SE 64TH PL
Suite 140
Issaquah, WA 98027-5368
Phone
(425) 830-0028
NPI assigned
Aug 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60630287 WA Primary

Addresses

Primary practice location

22526 SE 64TH PL
Suite 140
Issaquah, WA 98027-5368

Mailing address

22526 SE 64TH PL
Suite 140
Issaquah, WA 98027-5368
Phone (425) 830-0028

Other practice location 1

4156 148th Ave NE
Redmond, WA 98052-5164
Phone (415) 629-3004

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

LicenseStateTypeSpecialty
PT60630287WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Waypoint Pediatric Therapies Physical Therapist Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1912450347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22526 SE 64TH PL",
            "address_2": "SUITE 140",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275368",
            "telephone_number": "425-830-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22526 SE 64TH PL",
            "address_2": "SUITE 140",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275368",
            "telephone_number": "425-830-0028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4156 148th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "WA",
            "postal_code": "980525164",
            "country_code": "US",
            "telephone_number": "415-629-3004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERKLING",
        "first_name": "STACEY",
        "credential": "P.T., D.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60630287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.