Brielle Kayla Mulligan, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR01082800 Issued in NJ

Practice address

1405 Route 18 Ste 203
Old Bridge, NJ 08857-3777

Phone

(732) 967-0900

NPI assigned

Sep 23, 2022

Last updated

Sep 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthpro Heritage Rehab and Fitness LLCGroup PAC ID 6507832573, 976 clinicians

Attain Physical TherapyGroup PAC ID 6305272659, 68 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Attain Physical Therapy

  • Physical Therapist
  • Shrewsbury, NJ
  • NPI 1609406438
  Medicare reassignment Care Compare group NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Saddle River, NJ
  • NPI 1689022295

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Max Health Therapies

  • Physical Therapist
  • Old Bridge, NJ
  • NPI 1811651029
  Medicare reassignment NPD
• Healthpro Heritage Rehab & Fitness, LLC

  • Physical Therapist
  • Independence, MO
  • NPI 1871072462

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663891200000",
    "number": "1003539131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 508",
            "city": "ROOSEVELT",
            "state": "NJ",
            "postal_code": "085550508",
            "telephone_number": "609-578-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 ROUTE 18 STE 203",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088573777",
            "telephone_number": "732-967-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIGAN",
        "first_name": "BRIELLE",
        "middle_name": "KAYLA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR01082800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "46TR01082800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justene L Mooney, NP
• Victoria Morales
• Al Mowafy
• Ayad Mudarris, PHD
• Logan Angelina Muller, OTR
• Sana Naeem, M.D
• Aishwarya R Nair, MSN, APNC
• Claudia Rose Najar, PA-C
• Nicole Natelli, BCBA
• National Vision Inc (America's Best Contacts & Eyeglasses)

• Occupational Therapist in Old Bridge, NJ
• Providers in Old Bridge, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.