Active NPI
Merrick Lincoln, DPT
- Physical Therapist
- Midland, MI
National Provider Identifier
1982159893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501017793
- Practice address
- 317 E Wackerly St
Midland, MI 48642-7062 - Phone
- (989) 832-9300
- Fax
- (989) 832-9301
- NPI assigned
- Aug 20, 2016
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501017793 | MI | Primary |
Addresses
Primary practice location
317 E Wackerly St
Midland, MI 48642-7062
Mailing address
317 E Wackerly St
Midland, MI 48642-7062
Phone (989) 832-9300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160909000252 | MI | Practitioner - Physical Therapist in Private Practice | 6709172281 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501017793 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Craig Elford Physical Therapy PLLC | Physical Therapist | Current | Accepting new patients |
| Orion Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
Locations
1210 S Lapeer Rd
Lake Orion, MI 48360
Phone (248) 814-8060
317 E Wackerly St
#P
Midland, MI 48642
Phone (989) 832-9300
317 E Wackerly St
Midland, MI 48642
Phone (989) 631-4100
Organizations & group practices 2
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.
-
- Orthopedic Physical Therapist
- Midland, MI
- NPI 1982381794
MI, Physical Therapist
-
- Physical Therapist
- Lake Orion, MI
- NPI 1679657621
MI, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471651200000",
"number": "1982159893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 E WACKERLY ST",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486427062",
"telephone_number": "989-832-9300",
"fax_number": "989-832-9301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 E WACKERLY ST",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486427062",
"telephone_number": "989-832-9300",
"fax_number": "989-832-9301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINCOLN",
"first_name": "MERRICK",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-20",
"last_updated": "2016-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501017793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; 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.