CHARLIE MERRILL (NPI# 1841351178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841351178 |
| Entity Type | Individual |
| Full Name | CHARLIE MERRILL |
| Credential | P.T. |
| Practice Address |
1790 30th St Suite 314 Boulder CO 80301-1022 |
| Mailing Address |
459 Gold Run Rd Boulder CO 80302-9762 |
| Practice Telephone | 3034448707 |
| Practice Fax Number | 3034448109 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 261QP2000X CO | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | PT LICENSE NUMBER | 7010 | 01 |
| Street Address |
1790 30TH ST SUITE 314 |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-1022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831184381 | Myra Beth Tuckerman | Family Medicine | 1790 30th St, Suite 308, Boulder, CO 80301-1022 | 2005-09-12 |
| 1649883752 | Abigail Mucklow | Occupational Therapist | 1790 30th St, Boulder, CO 80301-1022 | 2020-08-28 |
| 1760867089 | Ramya Shyam | Speech-Language Pathologist | 1790 30th St, Suite 120, Boulder, CO 80301-1022 | 2015-07-28 |
| 1205215662 | Boulder Cognitive and Linguistic Center Inc | Speech-Language Pathologist | 1790 30th St, Suite 120, Boulder, CO 80301-1022 | 2015-05-19 |
| 1316355365 | Hilary Booco | Speech-Language Pathologist | 1790 30th St, Suite 120, Boulder, CO 80301-1022 | 2014-07-22 |
| 1992072094 | Ricardo Esparza, Ph.d., Pllc | Clinic/Center | 1790 30th St, Suite 120, Boulder, CO 80301-1022 | 2011-11-17 |
| 1194012583 | Gudrun A Dilger | Counselor | 1790 30th St, Suite 245, Boulder, CO 80301-1022 | 2011-07-06 |
| 1174769665 | Family Home Health LLC | Day Training/Habilitation Specialist | 1790 30th St, Suite 350, Boulder, CO 80301-1022 | 2009-01-05 |
| 1386899169 | Ruth Wharton | Counselor | 1790 30th St, Suite 200, Boulder, CO 80301-1022 | 2008-11-20 |
| 1679735732 | Jacob Hans | Chiropractor | 1790 30th St, Suite 270, Boulder, CO 80301-1022 | 2008-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| Find all providers in zip 80301 | ||||
| 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 |
|---|---|---|---|---|
| 1639708365 | Melissa Darnell | Physical Therapist | 3980 Caddo Pkwy, Boulder, CO 80303-3504 | 2020-04-04 |
| 1306473483 | Erin Mang | Physical Therapist | 785 32nd St, Boulder, CO 80303-2403 | 2020-03-26 |
| 1821583725 | Ariel Meyers | Physical Therapist | Frasier Meadows Retirement Community Dept. of Rehab, 350 Ponca Place, Boulder, CO 80303 | 2018-06-25 |
| 1689163776 | Hali Jones | Physical Therapist | 695 S Broadway St, Boulder, CO 80305-5969 | 2018-05-04 |
| 1811436280 | Aikaterini Fotiou | Physical Therapist | 880 W Moorhead Cir Apt 1h, Boulder, CO 80305-6134 | 2017-02-18 |
| 1780122978 | Christine Bell | Physical Therapist | 900 Quince Ave, Boulder, CO 80304-0703 | 2017-02-07 |
| 1336590561 | Robert Louis Kershner | Physical Therapist | 4410 Hastings Dr, Boulder, CO 80305-6615 | 2016-06-29 |
| 1942650338 | Hannah Doenlen | Physical Therapist | 4557 Tanglewood Trl, Boulder, CO 80301-3924 | 2016-06-16 |
| 1851746655 | Erica Parise | Physical Therapist | 4955 Moorhead Ave, Apt 2, Boulder, CO 80305-5544 | 2016-04-28 |
| 1790144632 | Krupaben Kaneria | Physical Therapist | 6255 Habitat Dr, Apt 3026, Boulder, CO 80301-3216 | 2016-02-21 |
| Find all providers in BOULDER | ||||
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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.