Kelly Mutina, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2103417 Issued in TX

Practice address

910 N Highway 146
Ste. a
Baytown, TX 77520-2252

Phone

(281) 837-7571

Fax

(281) 837-7573

NPI assigned

Aug 22, 2014

Last updated

Aug 22, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1245639574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 N HIGHWAY 146",
            "address_2": "STE. A",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775202252",
            "telephone_number": "281-837-7571",
            "fax_number": "281-837-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N HIGHWAY 146",
            "address_2": "STE. A",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775202252",
            "telephone_number": "281-837-7571",
            "fax_number": "281-837-7573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTINA",
        "first_name": "KELLY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-22",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2103417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Keih Murray
• Antionette Antwon Murthy, NP
• Ericka Giselle Musa Robles, MD
• Nofal Musfy, MD
• Bonnie Marie Muston, LPTA
• Ashley Naguit, PA
• Niravkumar A Naik, M.D.
• Breighana Paige Naiser, DOT, OTR
• Sabeen Najam, MD
• Anand Chidambaram Narayanan, MD

• Physical Therapy Assistant in Baytown, TX
• Providers in Baytown, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.