Mamerto Bragado Pacris Jr., PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0000002776 Issued in TN

Practice address

1519 Farkleberry Dr
Cordova, TN 38016-0605

Phone

(901) 745-7591

Fax

(901) 745-7468

NPI assigned

Apr 16, 2007

Last updated

Sep 17, 2025By the provider in NPPES

Sex

Male

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)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southeastern Assistive Technology Solutions, LLC

  • Physical Therapist
  • Brandon, MS
  • NPI 1568555803
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1891910774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 FARKLEBERRY DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160605",
            "telephone_number": "901-337-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 FARKLEBERRY DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160605",
            "telephone_number": "901-745-7591",
            "fax_number": "901-745-7468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACRIS",
        "first_name": "MAMERTO",
        "middle_name": "BRAGADO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT0000002776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Owens, FNP
• Lanora Owens
• Marilyn R Paauola, LCSW
• Shelby Pace, RBT
• Terry Harris Pachl, MS, RDN, LDN
• Samantha Padawer, LCSW
• Pain Management Centers of America, PSC
• Palmer Medical Services, LLC
• Alice Palmer, NP
• Tashonda Palmer

• Physical Therapist in Cordova, TN
• Providers in Cordova, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.