Active NPI
Richard Merrill, LMT
- Massage Therapist
- Millcreek, UT
National Provider Identifier
1942887484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 110971-4701
- Practice address
- 1054 E 3900 S
Millcreek, UT 84124-1138 - Phone
- (801) 268-3900
- NPI assigned
- Mar 29, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 110971-4701 | UT | Primary |
Addresses
Primary practice location
1054 E 3900 S
Millcreek, UT 84124-1138
Mailing address
8242 S Shangrila Cir
Sandy, UT 84094-1322
Phone (801) 680-2269
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
| License | State | Type | Specialty |
|---|---|---|---|
| 110971-4701 | UT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1942887484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8242 S SHANGRILA CIR",
"city": "SANDY",
"state": "UT",
"postal_code": "840941322",
"telephone_number": "801-680-2269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1054 E 3900 S",
"city": "MILLCREEK",
"state": "UT",
"postal_code": "841241138",
"telephone_number": "801-268-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRILL",
"first_name": "RICHARD",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-29",
"last_updated": "2021-03-29",
"certification_date": "2021-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "UT",
"license": "110971-4701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millcreek, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.