Mercy Clinics Inc
Organization Active NPI Physical Therapist · Clive, IA
NPI 1710167192 · NPPES record last updated Mar 20, 2026
Key facts
- NPI
- 1710167192
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- MERCY CLINICS INC
- Practice address
- 1601 NW 114TH St Ste 347
Clive, IA 50325-7046 - Phone
- (515) 222-7350
- Fax
- (515) 222-7355
- NPI assigned
- Nov 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Bradley Whipple
- Title
- Chief Operating Officer
- Phone
- (515) 358-6956
Corporate family (same tax ID) 36
Practitioners 16
-
Amy Brensel, MSPT
-
Sydney Brotherton, SLP
-
Cody Goeser, DPT
-
Natti Hill, DPT
-
Lori Huffman, SLP
-
Madisyn Jones, OT
-
Kirsten Maakestad, DPT
-
Adrianna Metzger, DPT
-
Karla Richards, OT
-
Blair Camille Runde, PA-C
-
Jacob Seely, PT, DPT
-
Coburn Shank, MSPT
-
Kendyl Struve, OT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| 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
- Tax ID family
- Mercy Neurological Clin
Locations
1601 NW 114th St
Ste 151
Des Moines, IA 50325
Phone (515) 222-7474
1601 NW 114th St
Ste 155
Des Moines, IA 50325
Phone (515) 222-7350
12493 University Ave
Ste 100
Des Moines, IA 50325
Phone (515) 358-0060
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X |
Addresses
Primary practice location
1601 NW 114TH St Ste 347
Clive, IA 50325-7046
Mailing address
PO Box 674721
Dallas, TX 75267-4721
Phone (515) 643-2519
Other practice location 1
1701 Campus Dr
Clive, IA 50325-6621
Phone (515) 221-4420
Other practice location 2
12493 University Ave Ste 100
Clive, IA 50325-8286
Phone (515) 358-9494
Other practice location 3
12493 University Ave
Clive, IA 50325-8286
Phone (515) 358-9494
Other names
- MercyOne Clive Physical Therapy Clinic
- MercyOne Physical & Aquatic Therapy Clinic
- MercyOne Walnut Ridge Aquatic Therapy Clinic
NPI Registry JSON
{
"created_epoch": "1194998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773964800000",
"number": "1710167192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 674721",
"city": "DALLAS",
"state": "TX",
"postal_code": "752674721",
"telephone_number": "515-643-2519",
"fax_number": "515-222-7355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 NW 114TH ST STE 347",
"city": "CLIVE",
"state": "IA",
"postal_code": "503257046",
"telephone_number": "515-222-7350",
"fax_number": "515-222-7355"
}
],
"practiceLocations": [
{
"address_1": "1701 Campus Dr",
"address_purpose": "LOCATION",
"city": "Clive",
"state": "IA",
"postal_code": "503256621",
"country_code": "US",
"telephone_number": "515-221-4420",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12493 University Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Clive",
"state": "IA",
"postal_code": "503258286",
"country_code": "US",
"telephone_number": "515-358-9494",
"fax_number": "515-358-9491",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12493 University Ave",
"address_purpose": "LOCATION",
"city": "Clive",
"state": "IA",
"postal_code": "503258286",
"country_code": "US",
"telephone_number": "515-358-9494",
"fax_number": "515-358-9491",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MERCY CLINICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-14",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A",
"authorized_official_last_name": "WHIPPLE",
"authorized_official_first_name": "BRADLEY",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "515-358-6956"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MercyOne Clive Physical Therapy Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MercyOne Physical & Aquatic Therapy Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MercyOne Walnut Ridge Aquatic Therapy Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.