Nicholas Francis Mercaldo

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4381 Issued in SC

Practice address

4871 Socastee Blvd Unit E
Myrtle Beach, SC 29588-7252

Phone

(843) 293-5610

NPI assigned

Mar 1, 2020

Sex

Male

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

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

{
    "created_epoch": "1583020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583020800000",
    "number": "1386278216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ARCHDALE ST",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887825",
            "telephone_number": "843-902-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4871 SOCASTEE BLVD UNIT E",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887252",
            "telephone_number": "843-293-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCALDO",
        "first_name": "NICHOLAS",
        "middle_name": "FRANCIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-01",
        "last_updated": "2020-03-01",
        "certification_date": "2020-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "4381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Melroy, LMSW
• Jessica Sue Mendelsohn, CRNA
• Joseph J Menn, DPM
• Michelle Ann Mennecke-Smith, RN
• Lisa Mercado, PA-C
• Amanda Mercer, MS, LPC, LCPC
• Mercy Care
• Phillip Meredith, O.D.
• Merhi Eye Clinic
• Eva Merhi, O.D.

• Physical Therapy Assistant in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2020; 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.