MEDICARE: ALLYSON M MERRIAM DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	PT298883	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PT298883	OTHER	CA	CA LICENSE

General Provider Information

NPI Number	:	1629676184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLYSON M MERRIAM DPT

Provider Business Mailing Address
First Line	:	19732 MACARTHUR BLVD STE 125
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92612-2455
Country	:	US
Telephone Number	:	949-644-2022
Fax Number	:

Provider Business Practice Location Address
First Line	:	19732 MACARTHUR BLVD STE 125
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92612-2455
Country	:	US
Telephone Number	:	949-644-2022
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/15/2020
Last Update Date	:	12/22/2025

Similar Medicare Providers

1235093931 — ALYSSA CARMEN BRADLEY
Practice Location Address:

19732 MACARTHUR BLVD STE 125
IRVINE, CA
92612-2455

Practice Phone: 949-644-2022
Practice Fax: 949-644-1914

1962554220 — MS. FRANCINE WYNN PT24138
Practice Location Address:

19732 MACARTHUR BLVD STE 125
IRVINE, CA
92612-2455

Practice Phone: 949-644-2022
Practice Fax: 949-644-1914

1104472752 — BRADLEY PHYSIOTHERAPY PC
Practice Location Address:

19732 MACARTHUR BLVD STE 125
IRVINE, CA
92612-2455

Practice Phone: 949-644-2022
Practice Fax: 949-644-1914

1649828302 — TALIA A DOMINELLO DPT
Practice Location Address:

19732 MACARTHUR BLVD STE 125
IRVINE, CA
92612-2455

Practice Phone: 949-644-2022
Practice Fax: 949-644-1914

1417570730 — MADELINE MACMILLIN PSY.D.
Practice Location Address:

2070 BUSINESS CENTER DR
IRVINE, CA
92612-1127

Practice Phone: 949-815-8788
Practice Fax:

1467984377 — CHIRON PSYCHOLOGICAL, INC
Practice Location Address:

19742 MACARTHUR BLVD STE 135
IRVINE, CA
92612-2430

Practice Phone: 714-646-8034
Practice Fax:

Directions to “ ALLYSON M MERRIAM DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.