Individual provider Active NPI

Mercy Uchechi Efuwape, DPT

  • Physical Therapist
  • Mansfield, TX
National Provider Identifier
1669813531
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1253430 Issued in TX
Practice address
1101 Silver Oak Dr
Mansfield, TX 76063-4458
Phone
(214) 680-7215
Fax
(682) 206-3456
NPI assigned
Jul 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1253430 TX Primary

Addresses

Primary practice location

1101 Silver Oak Dr
Mansfield, TX 76063-4458

Mailing address

1101 Silver Oak Dr
Mansfield, TX 76063-4458
Phone (214) 680-7215

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220726003665 TX Practitioner - Physical Therapist in Private Practice 3274915004 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Serenity Pas LLCGroup PAC ID 7810331667, 2 clinicians

Practice addresses (Care Compare)

Mansfield, TX 76063
Phone (214) 680-7215

2437 S FM
Suite 2869
Hawkins, TX 75765-4726
Phone (972) 994-6125

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy's Touch Physical Therapy and Wellness LLC Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Ebezor Associates LLC CurrentSince Sep 13, 2022 Accepting new patients
Serenity Pas LLC Physical Therapist CurrentSince Jun 1, 2025 Accepting new patients

Locations

2437 S FM 2869
Hawkins, TX 75765
Phone (972) 994-6125

Organizations & group practices 3

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1669813531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 SILVER OAK DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634458",
            "telephone_number": "214-680-7215",
            "fax_number": "682-206-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SILVER OAK DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634458",
            "telephone_number": "214-680-7215",
            "fax_number": "682-206-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFUWAPE",
        "first_name": "MERCY",
        "middle_name": "UCHECHI",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-08",
        "last_updated": "2023-11-06",
        "certification_date": "2022-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1253430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.