Mulvaney Rehab Services LTD

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MULVANEY REHAB SERVICES LTD

Practice address

1007 S 42ND St
Mount Vernon, IL 62864-6217

Phone

(618) 244-1163

Fax

(618) 244-1522

NPI assigned

Nov 7, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James M Mulvaney, PTNPI 1053423020

Title

President

Phone

(618) 244-1163

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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.

• James M Mulvaney

  • Physical Therapist
  • Mount Vernon, IL
  • NPI 1053423020
  Medicare reassignment Care Compare group NPD Authorized official
• Mary Elizabeth Garner, PT

  • Physical Therapist
  • Princeton, IN
  • NPI 1487294468

  IL

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306915129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4227 LINCOLNSHIRE DRIVE",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628642157",
            "telephone_number": "618-242-2317",
            "fax_number": "618-242-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 S 42ND ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646217",
            "telephone_number": "618-244-1163",
            "fax_number": "618-244-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULVANEY REHAB SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MULVANEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-244-1163",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mt Vernon TWP HS Dist 201
• Mt. Vernon Chiropractic Clinic, PLLC
• Mt. Vernon Eye Clinic, PLLC (Mt. Vernon Eye Clinic)
• Mt. Vernon OB-GYN LLC
• Jason Mulholland, MS, ATC, CSCS
• James M Mulvaney
• Laurie Mulvaney, S.T.
• Scott Murfin, DPT
• Michael Murray, PA-C
• Scott Murray, LCSW

• Physical Therapy Clinic/Center in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.