Individual provider Active NPI

Kelly Ann Mulvihill

  • Physical Therapist
  • New City, NY
National Provider Identifier
1215180104
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
015834-1 Issued in NY
Practice address
25 Windmill LN
New City, NY 10956-6120
Phone
(845) 323-4989
Fax
(845) 323-4989
NPI assigned
Oct 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 015834-1 NY Primary
Pediatric Physical Therapist 2251P0200X 015834-1 NY

Addresses

Primary practice location

25 Windmill LN
New City, NY 10956-6120

Mailing address

25 Windmill LN
New City, NY 10956-6120
Phone (845) 323-4989

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
015834-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly Mulvihill, Ms, PT, PC Past Accepting new patients

Organizations & group practices 1

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": "1224720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1215180104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WINDMILL LN",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566120",
            "telephone_number": "845-323-4989",
            "fax_number": "845-323-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WINDMILL LN",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109566120",
            "telephone_number": "845-323-4989",
            "fax_number": "845-323-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULVIHILL",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015834-1",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NY",
            "license": "015834-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.