Organization Active NPI

Mullen Physical Therapy

  • Physical Therapist
  • San Jose, CA
National Provider Identifier
1245572486
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 40043 Issued in CA
Legal business name
MULLEN PHYSICAL THERAPY
Practice address
4880 Stevens Creek Blvd Ste 108
Suite 108
San Jose, CA 95129-1034
Phone
(408) 905-6483
NPI assigned
Mar 26, 2013
Last updated
Feb 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Authorized official

Name
Rijuta A Dhere, DPTNPI 1376857128
Title
Ceo
Phone
(925) 895-6533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 40043 CA Primary

Addresses

Primary practice location

4880 Stevens Creek Blvd Ste 108
Suite 108
San Jose, CA 95129-1034

Mailing address

4880 Stevens Creek Blvd Ste 108
Suite 108
San Jose, CA 95129-1034
Phone (408) 905-6483

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151231001598 CA Part B Supplier - Clinic/Group Practice 2668774019 Receives reassigned benefits from 4 practitioners
Practice locations: Santa Clara, CA

National Provider Directory

National Provider Directory

Locations

4880 Stevens Creek Blvd
Ste 108
San Jose, CA 95129
Phone (408) 317-7538

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1245572486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4880 STEVENS CREEK BLVD STE 108",
            "address_2": "SUITE 108",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951291034",
            "telephone_number": "408-905-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 STEVENS CREEK BLVD STE 108",
            "address_2": "SUITE 108",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951291034",
            "telephone_number": "408-905-6483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULLEN PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "DHERE",
        "authorized_official_first_name": "RIJUTA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-895-6533",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 40043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.