Individual provider Active NPI

Robin Mullen, PT, DPT

  • Physical Therapist
  • Anchorage, AK
National Provider Identifier
1295022655
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305 Issued in AK
Practice address
11260 Old Seward Hwy
Anchorage, AK 99515-3038
Phone
(907) 341-5555
Fax
(907) 341-5755
NPI assigned
Jul 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305 AK Primary

Addresses

Primary practice location

11260 Old Seward Hwy
Anchorage, AK 99515-3038

Mailing address

11260 Old Seward Hwy
Anchorage, AK 99515-3038
Phone (907) 341-5555

Other practice location 1

718 K St Ste D
Anchorage, AK 99501-3318
Phone (907) 748-0022

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110916000045 AK Practitioner - Physical Therapist in Private Practice 4587835848 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Physical TherapyGroup PAC ID 2668861931, 21 clinicians

Practice addresses (Care Compare)

718 K St
Suite D
Anchorage, AK 99501-3318
Phone (907) 748-0022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rebound Sports and Orthopedic Physical Therapy, LLC Physical Therapist CurrentSince Jul 5, 2011 Accepting new patients
Progressive Physical Therapy Physical Therapist CurrentSince Apr 15, 2023 Accepting new patients

Locations

7731 E Northern Lights Blvd
Ste 2
Anchorage, AK 99504
Phone (907) 245-5555

718 K St
Ste D
Anchorage, AK 99501
Phone (907) 748-0022

11260 Old Seward Hwy
Anchorage, AK 99515
Phone (907) 341-5555

Organizations & group practices 2

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": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1295022655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11260 OLD SEWARD HWY",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153038",
            "telephone_number": "907-341-5555",
            "fax_number": "907-341-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11260 OLD SEWARD HWY",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995153038",
            "telephone_number": "907-341-5555",
            "fax_number": "907-341-5755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "718 K St Ste D",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995013318",
            "country_code": "US",
            "telephone_number": "907-748-0022",
            "fax_number": "907-277-0022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "ROBIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "2305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.

Verify at the official NPI Registry.