Individual provider Active NPI

Rachael Lynne Mervine, PT, DPT

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1003213984
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1245451 Issued in TX
Practice address
1615 Hermann Dr
Unit 1112
Houston, TX 77004-7140
Phone
(413) 627-1239
NPI assigned
Nov 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1245451 TX Primary
Physical Therapist 225100000X PT871541 DC
Physical Therapist 225100000X 2305208278 VA
Physical Therapist 225100000X 21416 MA

Addresses

Primary practice location

1615 Hermann Dr
Unit 1112
Houston, TX 77004-7140

Mailing address

1615 Hermann Dr
Unit 1112
Houston, TX 77004-7140
Phone (413) 627-1239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT871541DCMDPhysical Therapist
21416MAMDPhysical Therapist
1245451TXMDPhysical Therapist
2305208278VAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1003213984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 HERMANN DR",
            "address_2": "UNIT 1112",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047140",
            "telephone_number": "413-627-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 HERMANN DR",
            "address_2": "UNIT 1112",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770047140",
            "telephone_number": "413-627-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERVINE",
        "first_name": "RACHAEL",
        "middle_name": "LYNNE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-20",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1245451",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DC",
            "license": "PT871541",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305208278",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "21416",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2014; 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.