Solano Fernandez Mercado, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 10237 Issued in FL

Practice address

2301 Tamiami TRL
Suite E
Port Charlotte, FL 33952-3923

Phone

(941) 625-1252

Fax

(941) 625-0616

NPI assigned

Apr 7, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Shine Rehab Inc.

  • Physical Therapist
  • Port Charlotte, FL
  • NPI 1568677938
  Medicare reassignment
• Shine Rehab Inc.

  • Physical Therapist
  • Port Charlotte, FL
  • NPI 1184837221
  NPD (past) Authorized official

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1730352162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 TAMIAMI TRL STE E",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339523923",
            "telephone_number": "941-625-1252",
            "fax_number": "941-625-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 TAMIAMI TRL",
            "address_2": "SUITE E",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339523923",
            "telephone_number": "941-625-1252",
            "fax_number": "941-625-0616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "SOLANO",
        "middle_name": "FERNANDEZ",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 10237",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "FL",
            "license": "PT 10237",
            "primary": false
        },
        {
            "code": "2251H1300X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Human Factors",
            "state": "FL",
            "license": "PT 10237",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "FL",
            "license": "PT 10237",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NPI #",
            "identifier": "1568677938",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "Y905U",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany N Mendo, PMHNP-BC
• Anthony Richard Menendez, DDS, MAGD
• Mental Wellness Counseling LLC
• Ricky Lee Mentzer, D.C.
• Rowena Mercado, PT
• Krzysztof J Merkel, MD
• Merona Grey
• Metro Treatment of Florida, LP
• Tetyana Metyk, MD
• Alla Mezhevaya, RDMS, RVT, RDCS

• Physical Therapist in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.