Active NPI
Mercy Clinics, Inc
- Physical Therapist
- Des Moines, IA
National Provider Identifier
1124365747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MERCY CLINICS, INC
- Practice address
- 1111 6TH Ave. East Tower
Suite: B1
Des Moines, IA 50314-2610 - Phone
- (515) 358-2225
- Fax
- (515) 358-0181
- NPI assigned
- Jan 16, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David H Vellinga
- Title
- President/Ceo
- Phone
- (515) 247-4287
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | IA | Primary |
Addresses
Primary practice location
1111 6TH Ave. East Tower
Suite: B1
Des Moines, IA 50314-2610
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 358-2225
Other names 1
- Mercy Spine Physical Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031112000238 | IA | Part B Supplier - Clinic/Group Practice | 7911810882 |
Receives reassigned benefits from 558 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358294400000",
"number": "1124365747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1475",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503051475",
"telephone_number": "515-358-2225",
"fax_number": "515-358-0181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 6TH AVE. EAST TOWER",
"address_2": "SUITE: B1",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503142610",
"telephone_number": "515-358-2225",
"fax_number": "515-358-0181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY CLINICS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-16",
"last_updated": "2013-01-16",
"status": "A",
"authorized_official_last_name": "VELLINGA",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "515-247-4287"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "IA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mercy Spine Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.