Mercades M Genzler, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0585 Issued in SD

Practice address

920 4TH St
Garretson, SD 57030-2006

Phone

(605) 594-3466

Fax

(605) 594-6661

NPI assigned

Jul 12, 2019

Last updated

Jul 12, 2019By the provider in NPPES

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

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1265084867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S BROADWAY ST",
            "city": "GETTYSBURG",
            "state": "SD",
            "postal_code": "574421505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 4TH ST",
            "city": "GARRETSON",
            "state": "SD",
            "postal_code": "570302006",
            "telephone_number": "605-594-3466",
            "fax_number": "605-594-6661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENZLER",
        "first_name": "MERCADES",
        "middle_name": "M",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SD",
            "license": "0585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Coburn
• Empres at Garretson, LLC
• Garretson Community Ambulance Corporation
• Garretson Healthcare, LLC (Palisade Healthcare Community)
• Garretson School District 49-4
• Lisa Marie Johnson, LPC, LAC
• Krista Liley, OTR
• Cody Mather
• Sarah Mettler
• Jenna Metzger, DPT

• Physical Therapy Assistant in Garretson, SD
• Providers in Garretson, SD by specialty
• Physical Therapy Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.