Individual provider Active NPI

Merritt Yandell, P.T.

  • Physical Therapist
  • Madison, WI
National Provider Identifier
1942323035
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10179 Issued in WI
Practice address
3525 University Ave
Madison, WI 53705-2140
Phone
(608) 467-3537
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT008556 GA
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 10179 WI Primary

Addresses

Primary practice location

3525 University Ave
Madison, WI 53705-2140

Mailing address

1650 Lyndon Farm CT Ste 300
Louisville, KY 40223-5005
Phone (502) 576-3282

Other practice location 1

2669 Osborne Rd NE
Brookhaven, GA 30319-8400
Phone (404) 477-7777

Other names 1

  • Merritt Yandell-Ahmad Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230202002778 WI Practitioner - Physical Therapist in Private Practice 2163690546 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.14 of 100Reported as group
Quality
82.79
Promoting interoperability
90
Improvement activities
40
Cost
79.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10179WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Physicians, LLP Multi-Specialty CurrentSince Mar 1, 2023 Accepting new patients
Fox Rehabilitation Services Wi LLC Physical Therapist CurrentSince Feb 1, 2023 Accepting new patients
Capitol Physical Therapy Specialists LLC Physical Therapist CurrentSince Jan 19, 2023 Accepting new patients
Capitol Physical Therapy LLC Multi-Specialty PastSince Sep 19, 2017 Accepting new patients

Locations

1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039

3525 University Ave
Madison, WI 53705
Phone (608) 467-3537

4410 Regent St
Madison, WI 53705
Phone (608) 233-9746

1215 Springdale St
Mount Horeb, WI 53572
Phone (608) 437-0222

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1942323035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LYNDON FARM CT STE 300",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402235005",
            "telephone_number": "502-576-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 UNIVERSITY AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052140",
            "telephone_number": "608-467-3537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2669 Osborne Rd NE",
            "address_purpose": "LOCATION",
            "city": "Brookhaven",
            "state": "GA",
            "postal_code": "303198400",
            "country_code": "US",
            "telephone_number": "404-477-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANDELL",
        "first_name": "MERRITT",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008556",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "10179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERRITT",
            "last_name": "YANDELL-AHMAD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.