Active NPI
Amy J Mulherin, PTA
- Physical Therapy Assistant
- Wexford, PA
National Provider Identifier
1124274634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PA1085
- Practice address
- 5500 Brooktree Rd.
Rehab Care, Suite 102
Wexford, PA 15090-9260 - Phone
- (207) 268-2489
- NPI assigned
- Aug 15, 2008
- Last updated
- Aug 15, 2008
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PA1085 | ME | Primary |
Addresses
Primary practice location
5500 Brooktree Rd.
Rehab Care, Suite 102
Wexford, PA 15090-9260
Mailing address
524 Oak Hill Rd
Litchfield, ME 04350-3413
Phone (207) 268-2489
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218758400000",
"number": "1124274634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "524 OAK HILL RD",
"city": "LITCHFIELD",
"state": "ME",
"postal_code": "043503413",
"telephone_number": "207-268-2489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 BROOKTREE RD.",
"address_2": "REHAB CARE, SUITE 102",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150909260",
"telephone_number": "207-268-2489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULHERIN",
"first_name": "AMY",
"middle_name": "J",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-15",
"last_updated": "2008-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "ME",
"license": "PA1085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wexford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.