Patrick Joshua Muilenburg, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4312 Issued in OK

Practice address

938 W Shawnee St # B
Muskogee, OK 74401-3511

Phone

(918) 683-7731

Fax

(918) 683-6244

NPI assigned

Aug 2, 2010

Sex

Male

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 OK

Enrollment records 1

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.

• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Stillwater, OK
  • NPI 1205162716

  Physical Therapist

  Medicare reassignment NPD
• Select Physical Therapy Holdings, Inc.

  • Physical Therapy Clinic/Center
  • Shawnee, OK
  • NPI 1063774586
  NPD
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1376857367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 W SHAWNEE ST # B",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744013511",
            "telephone_number": "918-683-7731",
            "fax_number": "918-683-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 W SHAWNEE ST # B",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744013511",
            "telephone_number": "918-683-7731",
            "fax_number": "918-683-6244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUILENBURG",
        "first_name": "PATRICK",
        "middle_name": "JOSHUA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-02",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea La Dawn Mosteller, BSN RN
• Kristina Diann Mosteller
• Kahlan Mouse, BHRS
• Ifeoma Nneka Mozie, AGACNP
• Beverly Christine Mozingo
• Lisa Mullins
• Ryan T Mundy, M.D.
• Valerie Rainbow Munhollon
• Melody Jean Murphy
• Tracy Murphy

• Physical Therapist in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.