Jennifer Mullen

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT36514 Issued in FL

Practice address

7333 International PL
Lakewood Ranch, FL 34240-8418

Phone

(941) 500-2333

NPI assigned

Nov 19, 2020

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

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.

• Kristen a. E. Bohan, Inc.

  • Clinic/Center
  • Sarasota, FL
  • NPI 1679748867
  NPD

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1396348488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 58TH WAY E",
            "city": "PALMETTO",
            "state": "FL",
            "postal_code": "342211294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7333 INTERNATIONAL PL",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408418",
            "telephone_number": "941-500-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corista Fikes Mosher, RDN, LDN
• Daisy Arlet Mosso Chanelo
• Kaitlyn Patricia Motard
• Elizabeth Moure
• Adam Chrisotpher Mues, MD
• Alexander Muniz
• Heather Nicole Murphy
• Deirdra Miguel Myers, M.D.
• Joshua Thomas Myers, DC
• Crystal Lynn Nakayama, APRN

• All providers in Lakewood Ranch, FL
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.