Active NPI
Michael L Mullins, MAPT
- Physical Therapist
- Bernardsville, NJ
National Provider Identifier
1265567580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA00703500
- Practice address
- 30 Morristown Rd
Bernardsville, NJ 07924-2316 - Phone
- (908) 766-5663
- Fax
- (908) 766-7768
- NPI assigned
- Feb 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA00703500 | NJ | Primary |
| Physical Therapist | 225100000X | 0139451 | NY |
Addresses
Primary practice location
30 Morristown Rd
Bernardsville, NJ 07924-2316
Mailing address
3843 Bloomingdale Dr
Hillsborough, NJ 08844-5558
Phone (908) 359-2753
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1321020 | Other | NJ | UNITED HEALTH CARE |
| 7754629 | Other | NJ | AETNA PPO |
| 3955073 | Other | NJ | AETNA POS |
| 4188707 | Other | NJ | CIGNA PPO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
476 Amwell Rd
Hillsborough, NJ 08844-3400
Phone (908) 281-6515
Merit-based Incentive Payment System (MIPS)
- Final score
- 95 of 100
- Quality
- 90
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0139451 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belle Mead Physical Therapy | Current | Accepting new patients | |
| A to Z Total Healthcare LLC | Physical Therapist | Past | Accepting new patients |
| Advanced Health & Physical Therapy Solutions | Physical Therapist | Past | Accepting new patients |
Locations
476 Amwell Rd
Hillsborough, NJ 08844
Phone (908) 281-6515
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Hillsborough, NJ
- NPI 1568434538
-
- Chiropractor
- Bernardsville, NJ
- NPI 1891988291
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205884800000",
"number": "1265567580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3843 BLOOMINGDALE DR",
"city": "HILLSBOROUGH",
"state": "NJ",
"postal_code": "088445558",
"telephone_number": "908-359-2753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 MORRISTOWN RD",
"city": "BERNARDSVILLE",
"state": "NJ",
"postal_code": "079242316",
"telephone_number": "908-766-5663",
"fax_number": "908-766-7768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINS",
"first_name": "MICHAEL",
"middle_name": "L",
"credential": "MAPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2008-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA00703500",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "0139451",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "1321020",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7754629",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA POS",
"identifier": "3955073",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PPO",
"identifier": "4188707",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bernardsville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.