Active NPI
Marie Mullen, PT
- Physical Therapist
- Newark, DE
National Provider Identifier
1013950872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- J10001082
- Practice address
- 4102 Ogletown Stanton Rd
Newark, DE 19713-4183 - Phone
- (302) 894-1800
- Fax
- (302) 894-1811
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J10001082 | DE | Primary |
Addresses
Primary practice location
4102 Ogletown Stanton Rd
Newark, DE 19713-4183
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1610024 | Other | PABS | |
| 76915007 | Other | NCA | |
| 1000037719 | Medicaid | DE | |
| 2287552000 | Other | AMERIHEALTH | |
| 5070-0012 | Other | CARE FIRST |
Other names 1
- Marie Raniszewski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 Vineyard Way
Suite 100
West Grove, PA 19390-8849
Phone (610) 869-5792
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.05 of 100
- Quality
- 89.12
- Improvement activities
- 40
- Cost
- 73.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J10001082 | DE | MD | Physical Therapist |
Organizations & group practices 1
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.
-
dba ATI Physical Therapy
- Physical Therapy Clinic/Center
- Rising Sun, MD
- NPI 1396781050
PA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327276800000",
"number": "1013950872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4102 OGLETOWN STANTON RD",
"city": "NEWARK",
"state": "DE",
"postal_code": "197134183",
"telephone_number": "302-894-1800",
"fax_number": "302-894-1811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLEN",
"first_name": "MARIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2012-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "DE",
"license": "J10001082",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PABS",
"identifier": "1610024",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCA",
"identifier": "76915007",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000037719",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "2287552000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE FIRST",
"identifier": "5070-0012",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIE",
"last_name": "RANISZEWSKI",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2012; 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.