Mariah Mercado, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

303885 Issued in CA

Practice address

2115 J St Ste 210
Sacramento, CA 95816-4734

Phone

(916) 444-0033

NPI assigned

Apr 20, 2023

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jabbergym, LLC

  • Speech-Language Pathologist
  • Sacramento, CA
  • NPI 1114685658

  Physical Therapist

  NPD (past)
• Jabbergym, LLC

  • Speech-Language Pathologist
  • Sacramento, CA
  • NPI 1356009898

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1205523172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5951 RIVERSIDE BLVD APT 112",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958311396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 J ST STE 210",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164734",
            "telephone_number": "916-444-0033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 N Sunrise Ave Ste 1105",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956612931",
            "country_code": "US",
            "telephone_number": "916-771-8255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "MARIAH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "303885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caprice Kiara Mercado
• Celeste Alexis Mercado
• Jacqueline Louise Mercado
• Leticia Mercado
• Liliana Guerra Mercado
• Olga M. Mercado, PA
• Rebecca Mercado, MSW
• Rosanna Mercado, LVN
• Yesenia Valdez Mercado
• Angela Ann Mercier, RN

• Physical Therapist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.