Michael Frederick Merriman, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT.012163 Issued in OH

Practice address

5130 Bradenton Ave
Ste B
Dublin, OH 43017-7557

Phone

(614) 336-8733

Fax

(614) 336-0658

NPI assigned

Aug 25, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Outpatient at Home LLCGroup PAC ID 6204248784, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Outpatient at Home LLC

  • Physical Therapy Clinic/Center
  • Worthington, OH
  • NPI 1629671003
  Medicare reassignment Care Compare group
• Columbus Physical Therapy, LLC

  • Physical Therapist
  • Dublin, OH
  • NPI 1760827232
  NPD (past)

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285718400000",
    "number": "1942457650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5514 NIKE DR",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430269081",
            "telephone_number": "614-529-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 BRADENTON AVE",
            "address_2": "STE B",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177557",
            "telephone_number": "614-336-8733",
            "fax_number": "614-336-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRIMAN",
        "first_name": "MICHAEL",
        "middle_name": "FREDERICK",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-25",
        "last_updated": "2010-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.012163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meridian Imaging Center
• Meridian Imaging Center, LLC
• Bethany Merold, LPCC
• Danita Merrell
• Noah Merrill
• Steven Merriman
• Melissa Merrow
• Rachel Kay Mertens, LPCC-S
• Andrea R Messer, PC
• Jessica Messersmith-Miller, MSW, LISW

• Physical Therapist in Dublin, OH
• Providers in Dublin, OH by specialty
• Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; 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.