Bea Katrina Bagsic Mercado, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3656 Issued in NV

Practice address

2856 E Cheyenne Ave
North Las Vegas, NV 89030-4234

Phone

(702) 644-1888

NPI assigned

Oct 15, 2021

Last updated

Oct 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1609539766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 W FLAMINGO RD UNIT 1091",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891476401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2856 E CHEYENNE AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890304234",
            "telephone_number": "702-644-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "BEA KATRINA",
        "middle_name": "BAGSIC",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "3656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Mendoza
• Yaoska Mendoza
• Rebecca Anne Menge, RD, CDE
• Mens on the Rise Inc
• Mental Wellness LLC
• Donna Jean Mercer
• Mercy Air Service, Inc.
• Cassandra Emily Mermini
• Jenetta Merriweather
• Olimpiu Adrian Mesaros

• Physical Therapist in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.