Individual provider Active NPI

Haley Mercado, PT, DPT

  • Physical Therapist
  • Grayson, GA
National Provider Identifier
1306491329
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2125 Loganville Hwy Ste 202
Grayson, GA 30017-1657
Phone
(678) 750-3330
NPI assigned
Aug 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2125 Loganville Hwy Ste 202
Grayson, GA 30017-1657

Mailing address

5400 Kent Rock Rd
Loganville, GA 30052-4429

Other practice location 1

5400 Kent Rock Rd
Loganville, GA 30052-4429
Phone (678) 750-3330

Other practice location 2

5400 Kent Rock Rd
Loganville, GA 30052-4429
Phone (678) 750-3330

Other identifiers 1

IdentifierTypeStateIssuer
PT014152OtherGAPROFESSIONAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Set in Motion PT, LLC Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients

Locations

2125 Loganville Hwy
Ste 202
Grayson, GA 30017
Phone (404) 538-8019

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1306491329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 KENT ROCK RD",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300524429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 LOGANVILLE HWY STE 202",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300171657",
            "telephone_number": "678-750-3330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5400 Kent Rock Rd",
            "address_purpose": "LOCATION",
            "city": "Loganville",
            "state": "GA",
            "postal_code": "300524429",
            "country_code": "US",
            "telephone_number": "678-750-3330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5400 Kent Rock Rd",
            "address_purpose": "LOCATION",
            "city": "Loganville",
            "state": "GA",
            "postal_code": "300524429",
            "country_code": "US",
            "telephone_number": "678-750-3330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "HALEY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "PT014152",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayson, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.