NPIMap

Organization Active NPI

Merc Therapy Centers, LLC

Doing business as Wishing Well Pediatric Therapy

  • Physical Therapist
  • Houston, TX
National Provider Identifier
1427328145
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1165140 Issued in TX
Legal business name
MERC THERAPY CENTERS, LLC
Doing business as
Wishing Well Pediatric Therapy
Practice address
2600 Gessner Rd Ste 190
Houston, TX 77080-3844
Phone
(713) 996-7996
NPI assigned
Jan 11, 2012
Organization subpart
Yes
Parent organization
MERC THERAPY CENTERS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Authorized official

Name
Michele Eglinger, MBA
Title
Owner
Phone
(713) 996-7996

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 1165140 TX Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 100332 TX
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 101115 TX

Addresses

Primary practice location

2600 Gessner Rd Ste 190
Houston, TX 77080-3844

Mailing address

2600 Gessner Rd Ste 190
Houston, TX 77080-3844
Phone (713) 996-7996

Other names 1

  • Wishing Well Pediatric Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170804002181 TX Part B Supplier - Clinic/Group Practice 8022237791 Receives reassigned benefits from 6 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Part of
Merc Therapy Centers LLC

Locations

550 Greens Pkwy
Ste 115
Houston, TX 77067
Phone (832) 962-8805

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1427328145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 GESSNER RD STE 190",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770803844",
            "telephone_number": "713-996-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GESSNER RD STE 190",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770803844",
            "telephone_number": "713-996-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERC THERAPY CENTERS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERC THERAPY CENTERS, LLC",
        "enumeration_date": "2012-01-11",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "EGLINGER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-996-7996",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1165140",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "100332",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "101115",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wishing Well Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 12, 2017; 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.

Verify at the official NPI Registry.