Individual provider Active NPI

Amanda McKay Mularkey

  • Physical Therapist
  • West Palm Beach, FL
National Provider Identifier
1417347733
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
30026 Issued in FL
Practice address
901 N Flagler Dr
West Palm Beach, FL 33401-3713
Phone
(561) 833-2244
NPI assigned
Jan 26, 2015
Last updated
Apr 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 30026 FL Primary

Addresses

Primary practice location

901 N Flagler Dr
West Palm Beach, FL 33401-3713

Mailing address

3401 Pga Blvd
Ste 500
Palm Beach Gardens, FL 33410-2825
Phone (386) 290-7250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151117001845 FL Practitioner - Physical Therapist in Private Practice 5698085959 Reassigns benefits to 1 organization
I20250926003977 CA Practitioner - Physical Therapist in Private Practice 5698085959 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sobe Innovative Rehabilitation PLLCGroup PAC ID 4789994336, 178 clinicians
California Luna Care Physical Therapy PCGroup PAC ID 9638427834, 769 clinicians
CRS Physical Therapy Inc.Group PAC ID 1355508433, 55 clinicians

Practice addresses (Care Compare)

Miami, FL 33179
Phone (786) 770-9480

16185 Los Gatos Blvd
Suite 205
Los Gatos, CA 95032-4569
Phone (866) 525-3175

4501 Mission Bay Dr
San Diego, CA 92109-4926
Phone (858) 866-0340

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30026FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sobe Innovative Rehabilitation PLLC Physical Therapist CurrentSince Mar 10, 2026 Accepting new patients
CRS Physical Therapy Inc. Physical Therapist CurrentSince Sep 19, 2025 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Sep 15, 2025 Accepting new patients

Locations

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 409-4167

Interoperability endpoints

  • Direct secure messaging: mckay.mularkey.1@13081.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1417347733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 PGA BLVD",
            "address_2": "STE 500",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334102825",
            "telephone_number": "386-290-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N FLAGLER DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013713",
            "telephone_number": "561-833-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULARKEY",
        "first_name": "AMANDA",
        "middle_name": "MCKAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "30026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.