Provider Demographics
NPI:1043449952
Name:MERRICK, JOSHUA C
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:C
Last Name:MERRICK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10268 W CENTENNIAL RD
Mailing Address - Street 2:STE 110
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-6423
Mailing Address - Country:US
Mailing Address - Phone:303-948-2999
Mailing Address - Fax:303-948-8667
Practice Address - Street 1:280 N ZEREX ST
Practice Address - Street 2:
Practice Address - City:FRASER
Practice Address - State:CO
Practice Address - Zip Code:80442-5206
Practice Address - Country:US
Practice Address - Phone:970-722-1060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-13
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10465225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC477678Medicare UPIN