Individual provider Active NPI

Erin E. Mullen, PT

  • Physical Therapist
  • Baton Rouge, LA
National Provider Identifier
1164621553
Registry record updated Oct 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
09780R Issued in LA
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

Updated by the provider on Oct 24, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
004270162MedicaidCT

Other names 1

  • Erin E Moisan-Thomas Former name

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
05010486AINMDPhysical Therapist
09780RLAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Healthcare, LLC Current Accepting new patients
Brown Rogers LLC Physical Therapist CurrentSince Nov 30, 2020 Accepting new patients
Unity Healthcare, LLC Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Procare Physical Therapy and Hand Center Physical Therapist PastSince Jan 9, 2007 Accepting new patients
Independence Physical Therapy, LLC Physical Therapist PastSince Jun 1, 2010 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.

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.

Verify at the official NPI Registry.