Individual provider Active NPI

Adam McMullen, DPT

  • Orthopedic Physical Therapist
  • St Augustine, FL
National Provider Identifier
1043640477
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT28591 Issued in FL
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

Updated by the provider on Nov 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20131212001559 FL Practitioner - Physical Therapist in Private Practice 1052548302 Reassigns benefits to 2 organizations

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
PT Solutions of Pensacola, LLCGroup PAC ID 7517102973, 32 clinicians

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

OrganizationSpecialtyStatusNew patients
Premier Rehab Management, LLC CurrentSince Jun 25, 2018 Accepting new patients
Premier Rehab Management, LLC Orthopedic Current Accepting new patients
PT Solutions of Pensacola LLC CurrentSince Dec 2, 2024 Accepting new patients
Premier Rehab Management, LLC CurrentSince Jun 25, 2018 Accepting new patients
PT Solutions of Pensacola, LLC CurrentSince Dec 2, 2024 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.

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.

Verify at the official NPI Registry.