Kelly Merrick, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A01365 Issued in KY

Practice address

227 Browns LN
Louisville, KY 40207-3215

Phone

(502) 893-2595

Fax

(502) 893-1811

NPI assigned

Nov 18, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1972106383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3607 LOCKLEE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402143830",
            "telephone_number": "502-295-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 BROWNS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073215",
            "telephone_number": "502-893-2595",
            "fax_number": "502-893-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRICK",
        "first_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-18",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A01365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kmerrick@stmatthewscare.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "227 Browns Ln",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402073215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Louis Gregory Meriwether Jr., M.D.
• Patrick E Merkel
• Robert Tyler Merker
• Sharon Merker, MD
• Rachel Merriam, OTR/L
• Sarah Dentinger Merrick, M.D.
• Andria Linn Merrill, MS, LAT, ATC
• Kellina Claiborne Merris, MS, BCBA, LBA
• Stacey Elizabeth Merritt-Jenney, MD
• Ashley Marie Merritt, MD

• Physical Therapy Assistant in Louisville, KY
• Providers in Louisville, KY by specialty
• Physical Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.