Provider Demographics
NPI:1760271548
Name:MERSHIMER, JESSICA ROSE (PT, DPT)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:ROSE
Last Name:MERSHIMER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6404 SPRING CRK
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-1233
Mailing Address - Country:US
Mailing Address - Phone:845-337-2760
Mailing Address - Fax:
Practice Address - Street 1:2408 TIMBERLOCH PL STE C6
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1038
Practice Address - Country:US
Practice Address - Phone:713-992-5916
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1394795225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist