Individual provider Active NPI

Regina Rose Paulo Mercado, PT

  • Physical Therapist
  • New York, NY
National Provider Identifier
1568033835
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
047236 Issued in NY
Practice address
3 E 65TH St Apt 4a
New York, NY 10065-6551
Phone
(212) 535-2621
Fax
(212) 655-5754
NPI assigned
Jul 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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 047236 NY Primary

Addresses

Primary practice location

3 E 65TH St Apt 4a
New York, NY 10065-6551

Mailing address

894 Route 308
Rhinebeck, NY 12572-3445
Phone (747) 998-3674

Other practice location 1

4975 Albany Post Rd
Staatsburg, NY 12580-6032
Phone (845) 229-9177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210827001798 NY Practitioner - Physical Therapist in Private Practice 1759786841 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New York Physical and Occupational Therapy Services, PLLC Physical Therapist CurrentSince Jan 7, 2026 Accepting new patients

Locations

2579 Ocean Ave
Fl 3
Brooklyn, NY 11229
Phone (646) 780-0925

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": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1568033835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "894 ROUTE 308",
            "city": "RHINEBECK",
            "state": "NY",
            "postal_code": "125723445",
            "telephone_number": "747-998-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 E 65TH ST APT 4A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100656551",
            "telephone_number": "212-535-2621",
            "fax_number": "212-655-5754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4975 Albany Post Rd",
            "address_purpose": "LOCATION",
            "city": "Staatsburg",
            "state": "NY",
            "postal_code": "125806032",
            "country_code": "US",
            "telephone_number": "845-229-9177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "REGINA ROSE",
        "middle_name": "PAULO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.