Individual provider Active NPI

Siobhan Mary Mulvey, PT, DPT

  • Physical Therapist
  • Orland Park, IL
National Provider Identifier
1164916334
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
11140 W 179TH St
Orland Park, IL 60467-9435
Phone
(708) 478-7226
NPI assigned
Jun 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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 Primary

Addresses

Primary practice location

11140 W 179TH St
Orland Park, IL 60467-9435

Mailing address

4004 W 111TH St
Oak Lawn, IL 60453-5703
Phone (708) 424-4025

Other practice location 1

149 N Weber Rd
Bolingbrook, IL 60490
Phone (630) 967-2000

Other practice location 2

4004 W 111th St
Oak Lawn, IL 60453-5703
Phone (708) 424-4025

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas G. Mulvey , M.S., P.T., M.B.a., P.C. Physical Therapist CurrentSince Nov 29, 2020 Accepting new patients
Thomas G. Mulvey , M.S., P.T., M.B.a., P.C. Physical Therapist PastSince Nov 29, 2020 Accepting new patients

Locations

4004 W 111th St
Oak Lawn, IL 60453
Phone (708) 424-4025

11140 W 179th St
Orland Park, IL 60467
Phone (708) 478-7226

Organizations & group practices 2

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": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1164916334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 W 111TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535703",
            "telephone_number": "708-424-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11140 W 179TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679435",
            "telephone_number": "708-478-7226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "149 N Weber Rd",
            "address_purpose": "LOCATION",
            "city": "Bolingbrook",
            "state": "IL",
            "postal_code": "60490",
            "country_code": "US",
            "telephone_number": "630-967-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4004 W 111th St",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604535703",
            "country_code": "US",
            "telephone_number": "708-424-4025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULVEY",
        "first_name": "SIOBHAN",
        "middle_name": "MARY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.