Active NPI
Adam McMullen, DPT
- Orthopedic Physical Therapist
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT28591
- Practice address
- 1 Orthopaedic PL
St Augustine, FL 32086-4202 - Phone
- (904) 825-0540
- Fax
- (904) 217-8057
- NPI assigned
- Nov 21, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT28591 | FL | Primary |
Addresses
Primary practice location
1 Orthopaedic PL
St Augustine, FL 32086-4202
Mailing address
1 Orthopaedic PL
St Augustine, FL 32086-4202
Phone (904) 825-0540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
250 Palm Coast Pkwy NE
Unit 209a
Palm Coast, FL 32137-8289
Phone (386) 597-1927
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Rehab Management, LLC | Current | Accepting new patients | |
| Premier Rehab Management, LLC | Orthopedic | Current | Accepting new patients |
| PT Solutions of Pensacola LLC | Current | Accepting new patients | |
| Premier Rehab Management, LLC | Current | Accepting new patients | |
| PT Solutions of Pensacola, LLC | Current | Accepting new patients |
Locations
8199 Navarre Pkwy
#12A
Navarre, FL 32566
Phone (850) 939-1233
250 Palm Coast Pkwy NE
Unit 209A
Palm Coast, FL 32137
Phone (386) 597-1927
5401 Corporate Woods Dr
Ste 300
Pensacola, FL 32504
Phone (850) 912-6840
236 Ponte Vedra Park Dr
Ste 300
Ponte Vedra Beach, FL 32082
Phone (904) 280-3440
249 Mack Bayou Loop
Ste 101
Santa Rosa Beach, FL 32459
Phone (850) 622-0842
Organizations & group practices 5
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.
-
- Physical Therapist
- Pensacola, FL
- NPI 1730439092
-
- Physical Therapist
- Santa Rosa Beach, FL
- NPI 1164790630
-
- Physical Therapist
- Panama City Beach, FL
- NPI 1700219599
-
- Physical Therapist
- Palm Coast, FL
- NPI 1417517350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384992000000",
"number": "1043640477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 ORTHOPAEDIC PL",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320864202",
"telephone_number": "904-825-0540",
"fax_number": "904-217-8057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ORTHOPAEDIC PL",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320864202",
"telephone_number": "904-825-0540",
"fax_number": "904-217-8057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMULLEN",
"first_name": "ADAM",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-21",
"last_updated": "2013-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "FL",
"license": "PT28591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; 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.