Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Cody Conrad Merrill, PTA

Individual provider Physical Therapy Assistant · NPI 1356042386

Mr. Cody Conrad Merrill, PTA is a Physical Therapy Assistant in Oregon, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

811 S 10th St
Oregon, IL 61061-2129
Phone: (815) 732-7994
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160008092 (IL)

Record details

NPI number1356042386
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMarch 16, 2023
Last updated in NPPESMarch 16, 2023
Certification dateMarch 16, 2023

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