Active NPI
Audrey Jacqueline Muller-Hartwig, P.T.
- Specialist
- Burlingame, CA
National Provider Identifier
1053490987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 28448
- Practice address
- 1740 Marco Polo Way
Suite 3
Burlingame, CA 94010 - Phone
- (650) 552-9355
- Fax
- (650) 652-1951
- NPI assigned
- Nov 2, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | 28448 | CA | Primary |
Addresses
Primary practice location
1740 Marco Polo Way
Suite 3
Burlingame, CA 94010
Mailing address
960 Shoreline Drive
San Mateo, CA 94404-2024
Phone (650) 312-1655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carrola Physical Therapy,Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Burlingame, CA
- NPI 1831261411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053490987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 SHORELINE DRIVE",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944042024",
"telephone_number": "650-312-1655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1740 MARCO POLO WAY",
"address_2": "SUITE 3",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "94010",
"telephone_number": "650-552-9355",
"fax_number": "650-652-1951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLER-HARTWIG",
"first_name": "AUDREY",
"middle_name": "JACQUELINE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "28448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlingame, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.