Andrew Mullan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305215287 Issued in VA

Practice address

1577 General Booth Blvd # 101B
Virginia Beach, VA 23454-5105

Phone

(757) 742-3778

NPI assigned

Aug 18, 2022

Last updated

Aug 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Direct Performance Physical Therapy, LLCGroup PAC ID 1951627934, 24 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Direct Performance Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Virginia Beach, VA
  • NPI 1871998278

  Single Specialty

  Medicare reassignment Care Compare group NPD
• DPPT 2, LLC

  dba Direct Performance Physical Therapy

  • Physical Therapy Clinic/Center
  • Norfolk, VA
  • NPI 1932615150

  Physical Therapist

  NPD (past)

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": "1356069199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 A ST",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234515518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 GENERAL BOOTH BLVD # 101B",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234545105",
            "telephone_number": "757-742-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLAN",
        "first_name": "ANDREW",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305215287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khadijah Muhammad
• Ulysa Mashell Muirhead, RBT, QMHP A/C
• Anna Komer Mulac, FNP-BC
• Megan Mulcahy
• Sara G. Mulhern
• Monica Mullaney
• Latoya Mullen, FNP-BC, PMHNP-BC
• Matt Thomas Mullenix
• Carrie Michelle Muller, CRNA
• Tesa Mullins, LCSW

• Physical Therapist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Physical Therapist in Virginia

• 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.
• 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.