Maxx G Mercogliano, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT24634 Issued in FL

Practice address

3898 Circle Lake Dr
West Palm Beach, FL 33417-1180

Phone

(631) 943-7920

NPI assigned

Oct 3, 2023

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

Enrolled in FL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sobe Innovative Rehabilitation PLLCGroup PAC ID 4789994336, 178 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sobe Innovative Rehabilitation PLLC

  • Physical Therapist
  • Miami, FL
  • NPI 1164800595

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Metro Physical & Occupational Therapy Inc

  • Physical Therapist
  • Lake Worth, FL
  • NPI 1922517424

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1871373274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3898 CIRCLE LAKE DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334171180",
            "telephone_number": "631-943-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3898 CIRCLE LAKE DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334171180",
            "telephone_number": "631-943-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCOGLIANO",
        "first_name": "MAXX",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT24634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Habersat Mercado, ARNP- FAMILY
• Carla Mercedes
• Dhiny Marcelino Mercedes
• Mercele the Home Care Place LLC (Mercele the Home Care Place)
• Jean Mercius, M.S
• Meredith Suzanne Collins, M.D., P.a.
• Daisy Merey, M.D.
• John H Merey, M.D.
• Barbara Merino Calleja
• Natalie Merino, ARNP

• Occupational Therapist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.