Nicole Mullins, M.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21308 Issued in CA

Practice address

2831 Camino del Rio S Ste 111
San Diego, CA 92108-3827

Phone

(619) 340-0400

Fax

(619) 340-0407

NPI assigned

Jan 12, 2007

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cisneala a Professional Physical Therapy Corporation

  • Physical Therapy Clinic/Center
  • San Diego, CA
  • NPI 1619498250
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1346390911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7907 FORRESTAL RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921201711",
            "telephone_number": "619-847-8774",
            "fax_number": "619-692-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 CAMINO DEL RIO S STE 111",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083827",
            "telephone_number": "619-340-0400",
            "fax_number": "619-340-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "NICOLE",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "21308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Philip Mullin, M.D.
• Mary Jo Mullin, PPS
• Brooke Mullineaux
• Tiffany Mullings
• Denise Michele Mullins, DNP, RN,COHN
• Ryan Gabriel Mullins, ACSW
• Jeffrey A Mullvain, MD
• Molly Ann Mulreaney
• Pratik Multani, MD
• Multicultural Health Foundation

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; 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.