Mullis and Associates Physical Therapy, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

15359 Issued in MA

Legal business name

MULLIS AND ASSOCIATES PHYSICAL THERAPY, INC.

Practice address

811 Massachusetts Ave
Suite 100
Boston, MA 02118-2605

Phone

(617) 519-6443

NPI assigned

Apr 8, 2009

Last updated

Apr 8, 2009By 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

Dr. Jonathan E Mullis, PT, DPTNPI 1508078130

Title

President/Owner

Phone

(617) 519-6443

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jonathan Mullis, PT, DPT

  • Physical Therapist
  • Bradenton, FL
  • NPI 1508078130
  Authorized official Same address or phone

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1366685257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 ODONNELL SQ",
            "address_2": "1",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021223211",
            "telephone_number": "617-519-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 MASSACHUSETTS AVE",
            "address_2": "SUITE 100",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182605",
            "telephone_number": "617-519-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULLIS AND ASSOCIATES PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "MULLIS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "617-519-6443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MA",
            "license": "15359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Kevin Mullin
• Rachel A Mullin, PHARM D
• Anna Mary Osmond Mullins, MBBS
• Rebecca Ellen Henkind Mullins, MD
• Arber Mulliqi
• Christopher Mullison, PHARMD
• Sydney Mulqueen, MD
• Sydney Kay Mulready
• Ami Multani, MD
• Trisha J Multhaupt-Buell, M.S., CGC

• Physical Therapy Clinic/Center in Boston, MA
• Providers in Boston, MA by specialty
• Physical Therapy Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.