Organization Active NPI

Mend Physician Services PLLC

  • Physical Medicine & Rehabilitation Physician
  • Austin, TX
National Provider Identifier
1417630401
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
MEND PHYSICIAN SERVICES PLLC
Practice address
2025 Guadalupe St Ste 260
Austin, TX 78705-5642
Phone
(917) 382-0243
NPI assigned
Aug 8, 2023
Last updated
Jul 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Authorized official

Name
Michele Lee McMullen
Title
Director Revenue Cycle Management
Phone
(917) 336-7808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

2025 Guadalupe St Ste 260
Austin, TX 78705-5642

Mailing address

PO Box 96239
Phoenix, AZ 85072-6239
Phone (917) 382-0243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, CT, NY, TX, OK, ID, FL, NJ, CO, AZ, OH, SC12 enrollments

Enrollment records 12

Enrollment IDStateProvider typePAC IDDetails
O20231218003308 GA Part B Supplier - Clinic/Group Practice 6204285182 Receives reassigned benefits from 2 practitioners
Practice locations: Suwanee, GA
O20240319001917 CT Part B Supplier - Clinic/Group Practice 6204285182 Receives reassigned benefits from 1 practitioner
Practice locations: Stamford, CT
O20240319002239 NY Part B Supplier - Clinic/Group Practice 6204285182 Receives reassigned benefits from 1 practitioner
Practice locations: Menands, NY
O20240326002973 TX Part B Supplier - Clinic/Group Practice 6204285182 Receives reassigned benefits from 3 practitioners
Practice locations: Austin, TX
O20240326003367 OK Part B Supplier - Clinic/Group Practice 6204285182 Receives reassigned benefits from 2 practitioners
Practice locations: Durant, OK
O20240605001908 ID Part B Supplier - Clinic/Group Practice 6204285182 Receives reassigned benefits from 2 practitioners
Practice locations: Boise, ID
O20240607000346 FL Part B Supplier - Clinic/Group Practice 6204285182 Receives reassigned benefits from 2 practitioners
Practice locations: Ocala, FL
O20240611001372 NJ Part B Supplier - Clinic/Group Practice 6204285182 Practice locations: Edison, NJ
O20241011000247 CO Part B Supplier - Clinic/Group Practice 6204285182 Receives reassigned benefits from 1 practitioner
Practice locations: Denver, CO
O20241014001279 AZ Part B Supplier - Clinic/Group Practice 6204285182 Receives reassigned benefits from 1 practitioner
Practice locations: Surprise, AZ
O20250108000632 OH Part B Supplier - Clinic/Group Practice 6204285182 Receives reassigned benefits from 1 practitioner
Practice locations: Euclid, OH
O20260121003021 SC Part B Supplier - Clinic/Group Practice 6204285182 Receives reassigned benefits from 1 practitioner
Practice locations: Charleston, SC

National Provider Directory

National Provider Directory

Locations

1111 E I65 Service Rd S
Ste 101141
Mobile, AL 36606

2299 Summer St
Stamford, CT 06905

650 Ponce de Leon Ave NE
Ste 600
Atlanta, GA 30308

1060 Broadway
#1291
Menands, NY 12204

180 Varick St
Fl 6
New York, NY 10014

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1691452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782864000000",
    "number": "1417630401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96239",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850726239",
            "telephone_number": "917-382-0243",
            "fax_number": "315-273-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 GUADALUPE ST STE 260",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787055642",
            "telephone_number": "917-382-0243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEND PHYSICIAN SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-08",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A",
        "authorized_official_last_name": "MCMULLEN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "917-336-7808"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.