Individual provider Active NPI

Kate TL Merck, DPT

  • Physical Therapist
  • Spokane, WA
National Provider Identifier
1972139806
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT60951113 Issued in WA
Practice address
1403 S Grand Blvd Ste 102S
Spokane, WA 99203-2272
Phone
(509) 624-4200
Fax
(509) 624-2817
NPI assigned
Mar 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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 PT60951113 WA Primary

Addresses

Primary practice location

1403 S Grand Blvd Ste 102S
Spokane, WA 99203-2272

Mailing address

1403 S Grand Blvd Ste 102S
Spokane, WA 99203-2272
Phone (509) 624-4200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240410000078 DC Practitioner - Physical Therapist in Private Practice 6305284357 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1972139806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 S GRAND BLVD STE 102S",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032272",
            "telephone_number": "509-624-4200",
            "fax_number": "509-624-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 S GRAND BLVD STE 102S",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992032272",
            "telephone_number": "509-624-4200",
            "fax_number": "509-624-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCK",
        "first_name": "KATE",
        "middle_name": "TL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60951113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.