Individual provider Active NPI

Mary Mueller - Hank, R.P.T.

  • Physical Therapist
  • Simi Valley, CA
National Provider Identifier
1144210972
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT9899 Issued in CA
Practice address
2315 Kuehner Dr
Suite 115
Simi Valley, CA 93063-3900
Phone
(805) 823-8200
Fax
(805) 823-8208
NPI assigned
Oct 24, 2005
Last updated
Jul 10, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT9899 CA Primary

Addresses

Primary practice location

2315 Kuehner Dr
Suite 115
Simi Valley, CA 93063-3900

Mailing address

27924 Seco Canyon Rd
Santa Clarita, CA 91350-3870
Phone (818) 837-5785

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

State licenses

LicenseStateTypeSpecialty
PT9899CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Provider Services Inc. Physical Therapist PastSince Jan 10, 2012 Accepting new patients
Providence Facey Medical Foundation Past Accepting new patients
Providence Facey Medical Foundation Past Accepting new patients
Providence Facey Medical Foundation Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247184000000",
    "number": "1144210972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27924 SECO CANYON RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913503870",
            "telephone_number": "818-837-5785",
            "fax_number": "818-898-1842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 KUEHNER DR",
            "address_2": "SUITE 115",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930633900",
            "telephone_number": "805-823-8200",
            "fax_number": "805-823-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER - HANK",
        "first_name": "MARY",
        "credential": "R.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2009-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT9899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.