Active NPI
Erin E. Mullen, PT
- Physical Therapist
- Baton Rouge, LA
National Provider Identifier
1164621553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 09780R
- Practice address
- 8448 Siegen LN
Baton Rouge, LA 70810-1938 - Phone
- (225) 767-8182
- Fax
- (225) 767-8757
- NPI assigned
- Jul 16, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 008137 | CT | |
| Physical Therapist | 225100000X | 05010486A | IN | |
| Physical Therapist | 225100000X | 09780R | LA | Primary |
Addresses
Primary practice location
8448 Siegen LN
Baton Rouge, LA 70810-1938
Mailing address
8448 Siegen LN
Baton Rouge, LA 70810-1938
Phone (225) 767-8182
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004270162 | Medicaid | CT |
Other names 1
- Erin E Moisan-Thomas
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
| License | State | Type | Specialty |
|---|---|---|---|
| 05010486A | IN | MD | Physical Therapist |
| 09780R | LA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unity Healthcare, LLC | Current | Accepting new patients | |
| Brown Rogers LLC | Physical Therapist | Current | Accepting new patients |
| Unity Healthcare, LLC | Physical Therapist | Current | Accepting new patients |
| Procare Physical Therapy and Hand Center | Physical Therapist | Past | Accepting new patients |
| Independence Physical Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Locations
1411 S Creasy Ln
Ste 100
Lafayette, IN 47905
Phone (765) 447-5552
3451 Wyndham Way
Ste D
West Lafayette, IN 47906
Phone (765) 446-5250
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.
-
dba Brown Rogers Comprehensive Orthopaedic Therapy
- Occupational Therapist
- Baton Rouge, LA
- NPI 1922184696
Physical Therapist
-
- Clinic/Center
- Lafayette, IN
- NPI 1619929098
-
dba Lafayette Rehabilitation Services
- Physical Therapist
- Lafayette, IN
- NPI 1619983947
-
- Physical Therapist
- Mystic, CT
- NPI 1578596888
-
- Physical Therapist
- Portsmouth, NH
- NPI 1437220076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508803200000",
"number": "1164621553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8448 SIEGEN LN",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708101938",
"telephone_number": "225-767-8182",
"fax_number": "225-767-8757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8448 SIEGEN LN",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708101938",
"telephone_number": "225-767-8182",
"fax_number": "225-767-8757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLEN",
"first_name": "ERIN",
"middle_name": "E.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-16",
"last_updated": "2017-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "008137",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05010486A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "09780R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004270162",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "MOISAN-THOMAS",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.