MR. WILLIAM SHANNON MERRICK (NPI# 1720115405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720115405 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM SHANNON MERRICK |
| Credential | PT, ATC |
| Practice Address |
21756 State Road 54 Ste 102 Lutz FL 33549-2905 |
| Mailing Address |
3903 Northdale Blvd Ste 111w Tampa FL 33624-1864 |
| Practice Telephone | 8132796234 |
| Practice Fax Number | 8139491927 |
| Mailing Telephone | 8134187350 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2017-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT10305 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT-0010305 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AL 1709 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942389721 | William Andrew Merrick | Clinical Neuropsychologist | 1043 Tamarack Way, Verona, WI 53593-2101 | 2006-11-03 |
| 1497231054 | William Merrick | Internal Medicine | 100 15th St Nw, Norton, VA 24273-1616 | 2018-07-17 |
| 1821592650 | William Joseph Merrick | Pharmacist | 800 Zorn Ave, Louisville, KY 40206-1433 | 2018-03-19 |
| 1538456488 | William C Merrick Jr. | Massage Therapist | 22500 Ne Marketplace Dr, Suite 204, Redmond, WA 98053-2033 | 2011-06-29 |
| Street Address |
21756 STATE ROAD 54 STE 102 |
| City | LUTZ |
| State | FL |
| Zip Code | 33549-2905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316942030 | David M Herson | Anesthesiology | 21756 State Road 54, Suite 102a, Lutz, FL 33549-2905 | 2005-06-17 |
| 1821429911 | Optimal Performance and Physical Therapies-lutz, LLC | Clinic/Center | 21756 State Road 54, Suite 102, Lutz, FL 33549-2905 | 2013-11-28 |
| 1336455906 | Samantha L Herrick | Physical Therapist | 21756 State Road 54, Ste 102, Lutz, FL 33549-2905 | 2010-08-20 |
| 1356573489 | David Herson Md Pa | Anesthesiology | 21756 State Road 54, Suite 102a, Lutz, FL 33549-2905 | 2009-08-24 |
| 1275630386 | Mandi L Lewis | Physical Therapist | 21756 State Road 54, #102, Lutz, FL 33549-6921 | 2006-09-20 |
| 1821087107 | Vanda Andelova | Physical Therapist | 21756 State Road 54, Ste 102, Lutz, FL 33549-2905 | 2005-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659901189 | Keri L Freeman | Counselor | 1550 Michelin Court, Lutz, FL 33549 | 2020-01-23 |
| 1699335794 | Michaela C Elza | Behavior Technician | 18288 Us-41 S, Lutz, FL 33549 | 2019-06-19 |
| 1760923437 | Behavior Modification Solutions Aba, LLC | Behavioral Analyst | 1941 Crape Myrtle Loop, 205, Lutz, FL 33549 | 2017-03-15 |
| 1417497157 | Donna Ford | Counselor | 1511 Michelin Court, Lutz, FL 33549 | 2017-02-28 |
| 1376957985 | Absolute Pharmacy, LLC | Pharmacy | 16011 N. Nebraska Ave, Suite 103, Lutz, FL 33549 | 2014-06-12 |
| 1144568544 | Christine Cook | Speech-Language Pathologist | 16102 N. Florida Ave., Tampa, FL 33549 | 2013-01-21 |
| 1174803001 | Jennifer Marie Martinc | Occupational Therapy Assistant | 16102 N. Florida Avenue, Lutz, FL 33549 | 2011-08-23 |
| 1871741975 | Joseph J. Ferrandino | Counselor | 16120 N. Florida Ave., Lutz, FL 33549 | 2008-09-03 |
| 1588835011 | Priti Nmi Bapna | Dentist | 1528 Land O'lakes Blvd, Suite 101, Lutz, FL 33549 | 2008-03-12 |
| 1831382381 | Denise N Sarco-stipe | Speech-Language Pathologist | 16102 N. Florida Ave, Suite 910, Lutz, FL 33549 | 2007-08-18 |
| Find all providers in zip 33549 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093337636 | Akhil Das | Physical Therapist | 19706 Wild Water Cv, Lutz, FL 33559-7387 | 2020-05-16 |
| 1043725955 | Joseph Gannuscio | Physical Therapist | 22629 Laureldale Dr, Lutz, FL 33549-8788 | 2017-12-14 |
| 1174060305 | Shelly Fonseca | Physical Therapist | 19008 Avenue Bayonnes, Lutz, FL 33558-5356 | 2017-01-26 |
| 1629499066 | Ashley Goble | Physical Therapist | 414 E Chapman Rd, Lutz, FL 33549-5779 | 2014-01-03 |
| 1013201953 | Massage Point, LLC | Physical Therapist | 1868 Highland Oaks Blvd Ste B, Lutz, FL 33559-7413 | 2011-06-08 |
| 1578899365 | Maria Clarissa T Marquinez | Physical Therapist | 1537 Dale Mabry Hwy, Ste 102, Lutz, FL 33548-3020 | 2009-10-28 |
| 1386817542 | Richard Anthony Mauro | Physical Therapist | 19104 Cypress Green Dr, Lutz, FL 33558-9757 | 2008-04-09 |
| 1699988006 | Ryan P Whelton | Physical Therapist | 17824 N Us Highway 41, Lutz, FL 33549 | 2007-05-08 |
| 1215051776 | Beth Ann Patterson | Physical Therapist | 21756 State Road 54 Ste 102, Lutz, FL 33549-2905 | 2007-03-19 |
| 1437238441 | Kathleen Noemi Boyle | Physical Therapist | 17551 N Dale Mabry, Lutz, FL 33548 | 2006-11-02 |
| Find all providers in LUTZ | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.