Individual provider Active NPI

Amy Buzzell Mullins, P.T.

  • Pediatric Physical Therapist
  • Center Conway, NH
National Provider Identifier
1154650612
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
4147 Issued in NH
Practice address
626 Eastman Rd Ste C
Center Conway, NH 03813-4219
Phone
(603) 447-4356
Fax
(603) 447-4358
NPI assigned
Dec 12, 2009
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 0400003255 VT
Pediatric Physical Therapist 2251P0200X 4147 NH Primary

Addresses

Primary practice location

626 Eastman Rd Ste C
Center Conway, NH 03813-4219

Mailing address

90 Oak Ridge Est
Morrisville, VT 05661-4467
Phone (802) 888-3917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251223000801 NH Practitioner - Physical Therapist in Private Practice 6406341833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

600 Saint Johnsbury Rd
Littleton, NH 03561-3442

7 Clyde Rd
Somerset, NJ 08873-5049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0400003255VTMDPediatric Physical Therapist
4147NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Littleton Hospital Association CurrentSince Sep 21, 2025 Accepting new patients
Littleton Hospital Association CurrentSince Sep 21, 2025 Accepting new patients

Locations

1095 Profile Rd
Franconia, NH 03580
Phone (603) 823-8600

600 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-9000

Organizations & group practices 3

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": "1260576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1154650612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 OAK RIDGE EST",
            "city": "MORRISVILLE",
            "state": "VT",
            "postal_code": "056614467",
            "telephone_number": "802-888-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 EASTMAN RD STE C",
            "city": "CENTER CONWAY",
            "state": "NH",
            "postal_code": "038134219",
            "telephone_number": "603-447-4356",
            "fax_number": "603-447-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "AMY",
        "middle_name": "BUZZELL",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-12",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "VT",
            "license": "0400003255",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NH",
            "license": "4147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Conway, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.