Tracy M Mullins, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA24222 Issued in FL

Practice address

4161 Tamiami TRL
Suite 704
Port Charlotte, FL 33952-9204

Phone

(941) 625-1110

Fax

(941) 625-0552

NPI assigned

Apr 8, 2014

Last updated

Apr 8, 2014By the provider in NPPES

Sex

Female

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

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.

• Golden Touch Physical Therapy Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Port Charlotte, FL
  • NPI 1740229103
  NPD (past)

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

{
    "created_epoch": "1396915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1396164257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 FAUN RD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342931513",
            "telephone_number": "941-284-6141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 TAMIAMI TRL",
            "address_2": "SUITE 704",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339529204",
            "telephone_number": "941-625-1110",
            "fax_number": "941-625-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "TRACY",
        "middle_name": "M",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-08",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA24222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Alan Mowry
• Dwight E Moxley, CRNA
• Michael Dominic Mozzetti Sr., MD
• Denise Mueller-Barker, ARNP
• Muhammed Y Memon MD PA
• Joshua A Multack, D.O.
• Lianet Munguia Zaragoza
• Jessica Muoh, APRN
• Swaroop Muppavarapu, M.D.
• Murdock Ambulatory Surgery Center LLC

• Physical Therapy Assistant in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; 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.