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

Mr. William Shannon Merrick, PT, ATC

Individual provider Athletic Trainer · NPI 1720115405

Mr. William Shannon Merrick, PT, ATC is a Physical Therapist in Private Practice in Lutz, Florida. Qualified in 1992, 34 years ago. Practices with Optimal Performance and Physical Therapies-Lutz LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
34
Licensed in
FL
In the registry since
2007
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

21756 State Road 54 Ste 102
Lutz, FL 33549-2905
Phone: (813) 279-6234
Fax: (888) 492-7854
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT10305 (FL)
Athletic Trainer Taxonomy 2255A2300X · Licence AL 1709 (FL)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence PT-0010305 (FL)

Record details

NPI number1720115405
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , ATC
Sole proprietorNo
NPI enumeratedFebruary 28, 2007
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Optimal Performance And Physical Therapies-Lutz Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Lutz