Abigail Marie Merrill, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

61101979 Issued in WA

Practice address

3710 168TH St NE Ste A102
Arlington, WA 98223-8462

Phone

(360) 658-8100

NPI assigned

Nov 19, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Redmond Ridge Physical Therapy PLLC

  • Physical Therapist
  • Redmond, WA
  • NPI 1720259450
  Medicare reassignment NPD
• Cascade Rehabilitation Associates, PLLC

  • Occupational Therapist
  • Everett, WA
  • NPI 1245361617
  Medicare reassignment
• Summit Rehabilitation PLLC

  • Multi-Specialty Clinic/Center
  • Lake Stevens, WA
  • NPI 1558492934
  Medicare reassignment
• Redmond Ridge Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Woodinville, WA
  • NPI 1538541750
  NPD
• Summit Rehabilitation PLLC

  • Physical Therapy Clinic/Center
  • Lake Stevens, WA
  • NPI 1013648153
  NPD

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1982207171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "LAKEVILLE",
            "state": "CT",
            "postal_code": "060390130",
            "telephone_number": "860-671-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 168TH ST NE STE A102",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238462",
            "telephone_number": "360-658-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "ABIGAIL",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "61101979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Weisenburger Mellem, PA-C
• Cheryl A Meng, LICSW
• James Daniel Mensik
• Mentoring Associates LLC
• Lynda Clare Mercy
• Lexxus Middlebrooks
• Mikayla Long
• Abigail Diane Miller, CNA
• Jenefer Delica Mills, BSPT
• Lara Mills, LMP

• Physical Therapist in Arlington, WA
• Providers in Arlington, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.