Individual provider Active NPI

Andrew Richard Mueller, DPT

  • Physical Therapist
  • Tuscaloosa, AL
National Provider Identifier
1356040083
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0014903 Issued in DE
Practice address
100 Rice Mine Rd Loop Ste 102
Tuscaloosa, AL 35406-2423
Phone
(205) 539-3710
NPI assigned
Mar 2, 2023
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X J1-0014903 DE Primary

Addresses

Primary practice location

100 Rice Mine Rd Loop Ste 102
Tuscaloosa, AL 35406-2423

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206

Other practice location 1

2950 Donnell Dr Ste G
Forestville, MD 20747-3277
Phone (240) 492-3410

Other practice location 2

10879 Clemson Blvd.
Seneca, SC 29678
Phone (864) 482-0085

Other practice location 3

100 Becks Woods Dr
Bear, DE 19701-3835
Phone (302) 392-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, VA, AL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20231229002756 SC Practitioner - Physical Therapist in Private Practice 1355715889 Reassigns benefits to 1 organization
I20240416000353 VA Practitioner - Physical Therapist in Private Practice 1355715889 Reassigns benefits to 1 organization
I20241220002783 AL Practitioner - Physical Therapist in Private Practice 1355715889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenville Proaxis Therapy LLCGroup PAC ID 0244267771, 221 clinicians

Practice addresses (Care Compare)

10879 Clemson Blvd
Seneca, SC 29678-1303
Phone (864) 482-0085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
J1-0014903DEMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ati Holdings of Alabama, LLC Physical Therapist CurrentSince Oct 7, 2024 Accepting new patients
Mary Washington Healthcare Physicians Physical Therapist CurrentSince Mar 18, 2024 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Dec 11, 2023 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Dec 11, 2023 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Mar 18, 2024 Accepting new patients

Locations

1877 Cherokee Ave SW
Cullman, AL 35055
Phone (256) 727-1701

100 Rice Mine Road Loop
Ste 102
Tuscaloosa, AL 35406
Phone (205) 342-2610

790 Remington Blvd
Bolingbrook, IL 60440

33205 Collection Ctr Dr
Chicago, IL 60693

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

10879 Clemson Blvd
Seneca, SC 29678
Phone (864) 482-0085

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

3310 Fall Hill Ave
Fredericksburg, VA 22401
Phone (540) 373-7133

9530 Cosner Dr
Ste 101
Fredericksburg, VA 22408

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1356040083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RICE MINE RD LOOP STE 102",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062423",
            "telephone_number": "205-539-3710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2950 Donnell Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Forestville",
            "state": "MD",
            "postal_code": "207473277",
            "country_code": "US",
            "telephone_number": "240-492-3410",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10879 Clemson Blvd.",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "29678",
            "country_code": "US",
            "telephone_number": "864-482-0085",
            "fax_number": "864-482-0072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Becks Woods Dr",
            "address_purpose": "LOCATION",
            "city": "Bear",
            "state": "DE",
            "postal_code": "197013835",
            "country_code": "US",
            "telephone_number": "302-392-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "ANDREW",
        "middle_name": "RICHARD",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-02",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0014903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.