Individual provider Active NPI

Merrick Lincoln, DPT

  • Physical Therapist
  • Midland, MI
National Provider Identifier
1982159893
Registry record updated Aug 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501017793 Issued in MI
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

Updated by the provider on Aug 20, 2016

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 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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
5501017793MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Craig Elford Physical Therapy PLLC Physical Therapist CurrentSince Oct 10, 2023 Accepting new patients
Orion Physical Therapy, PLLC Physical Therapist CurrentSince Aug 22, 2016 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.

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.

Verify at the official NPI Registry.