Carmen Nieves-Merced, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00583100 Issued in NJ

Practice address

10501 Academy Rd Ste N
Philadelphia, PA 19114-1137

Phone

(215) 743-4435

NPI assigned

May 20, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spectrum Fitness, LLCGroup PAC ID 4385878362, 57 clinicians

Functional Independence Therapy Rehabilitation IncGroup PAC ID 1951451491, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Functional Independence Therapy Rehabilitation Inc

  • Physical Therapist
  • Voorhees, NJ
  • NPI 1467695759
  Medicare reassignment Care Compare group NPD
• Spectrum Fitness, LLC

  • Specialist
  • Northfield, NJ
  • NPI 1053750588

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• At Home by Enhance Therapies LLC

  • Physical Therapist
  • Lakewood, NJ
  • NPI 1124603246
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1174261101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 ACADEMY RD STE N",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141137",
            "telephone_number": "215-743-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 ACADEMY RD STE N",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141137",
            "telephone_number": "215-743-4435"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Danbury Dr",
            "address_purpose": "LOCATION",
            "city": "Sicklerville",
            "state": "NJ",
            "postal_code": "080819647",
            "country_code": "US",
            "telephone_number": "215-743-1060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEVES-MERCED",
        "first_name": "CARMEN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-20",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00583100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Lynn Niemcewicz, PA-C
• Yanina Niemiec
• Eliot Nierman, MD
• Weston Lawrence Niermeyer, MD
• Jorge E Nieto, R.D.H., D.M.D.
• Cynthia Marie Nieves, CRNP, FNP-BC
• Edgardo Nieves, M.S.
• Melissa Nieves, M.D.
• Olivia H Nieves, OTR/L
• Raquel Elizabeth Nieves

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.