Active NPI
Shannon Mulvey, DPT
- Physical Therapist
- Odessa, FL
National Provider Identifier
1285352021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTT39226
- Practice address
- 16232 FL-54
Odessa, FL 33556 - Phone
- (813) 475-5599
- NPI assigned
- Aug 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTT39226 | FL | Primary |
Addresses
Primary practice location
16232 FL-54
Odessa, FL 33556
Mailing address
19132 Cool Water CT Unit 306
Land O Lakes, FL 34638-3815
Phone (717) 635-0198
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTT39226 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660780800000",
"number": "1285352021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19132 COOL WATER CT UNIT 306",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346383815",
"telephone_number": "717-635-0198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16232 FL-54",
"city": "ODESSA",
"state": "FL",
"postal_code": "33556",
"telephone_number": "813-475-5599"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULVEY",
"first_name": "SHANNON",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-18",
"last_updated": "2022-08-18",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PTT39226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.