Klay Mullis, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA005404 Issued in GA

Practice address

139 Ga Highway 32 Byp
Alma, GA 31510-2757

Phone

(912) 632-6321

Fax

(912) 632-6322

NPI assigned

Aug 27, 2025

Last updated

Aug 27, 2025By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Shepard Therapy Center

  • Physical Therapist
  • Alma, GA
  • NPI 1427693407
  NPD

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1386523272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 GA HIGHWAY 32 BYP",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "315102757",
            "telephone_number": "912-632-6321",
            "fax_number": "912-632-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 GA HIGHWAY 32 BYP",
            "city": "ALMA",
            "state": "GA",
            "postal_code": "315102757",
            "telephone_number": "912-632-6321",
            "fax_number": "912-632-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIS",
        "first_name": "KLAY",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA005404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shira Dixon Medders, PT, DPT, ATC, MTC
• Michael S Deen M.D., P.C.
• Mobley's Discount Pharmacy, Inc. #2
• Aubrey Glynn Moore, PHYSICIANS ASSISTANT
• Zachary Moore, PT, DPT
• Optim Orthopedics, LLC (Optim Orthopedics)
• Arianne Pilpil, PT
• Ralph H Proenza, DDS
• Jenna Miles Reeves, PHARMD
• Charito Rodriguez, OT

• Physical Therapy Assistant in Alma, GA
• Providers in Alma, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.