Lindsey N. Mullen, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2305208022 Issued in VA

Practice address

1490 Pantops Mountain PL Ste 202
Charlottesville, VA 22911-4601

Phone

(434) 245-6472

Fax

(434) 245-6474

NPI assigned

Jun 24, 2013

Last updated

Apr 27, 2018By the provider in NPPES

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

Other identifiers 1

Other names 1

• Lindsey Nichols Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Tidewater Physical Therapy LLC

  dba Pivot Physical Therapy of Virginia

  • Physical Therapist
  • Richmond, VA
  • NPI 1386165264
  NPD (past)
• Tidewater Physical Therapy LLC

  dba Pivot Physical Therapy of Virginia

  • Physical Therapist
  • Norfolk, VA
  • NPI 1538680400
  NPD (past)
• Tidewater Physical Therapy LLC

  dba Pivot Physical Therapy of Virginia

  • Physical Therapist
  • Richmond, VA
  • NPI 1588185458
  NPD (past)
• Tidewater Physical Therapy LLC

  dba Pivot Physical Therapy of Virginia

  • Physical Therapist
  • Suffolk, VA
  • NPI 1831610708
  NPD (past)
• Tidewater Physical Therapy, LLC

  • Physical Therapist
  • Virginia Beach, VA
  • NPI 1093172181
  NPD (past)
• Tidewater Physical Therapy, LLC

  dba Pantops Physical Therapy

  • Physical Therapist
  • Palmyra, VA
  • NPI 1881133791
  NPD (past)

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1386083319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69030",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212649030",
            "telephone_number": "757-873-2302",
            "fax_number": "757-873-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 PANTOPS MOUNTAIN PL STE 202",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229114601",
            "telephone_number": "434-245-6472",
            "fax_number": "434-245-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "LINDSEY",
        "middle_name": "N.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305208022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "C05954",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "NICHOLS",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Mui
• Mohammad Mujlli, MBBS
• Sugoto Mukherjee, MD
• Rebecca Mullan, M.D.
• Kenneth Mullen
• Robert Lawrence Muller, PH.D.
• Terry P Muller, PH.D.
• Ryan James Mulligan, MD, PHD
• Xiaoya Weng Mullis, NP
• Dana Mumaw, MSOT, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; 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.