Active NPI
Mend Physician Services PLLC
- Physical Medicine & Rehabilitation Physician
- Austin, TX
National Provider Identifier
1417630401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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, SC
Enrollment records 12
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Denver, CO
- NPI 1851893648
-
- Physical Medicine & Rehabilitation Physician
- Tucker, GA
- NPI 1518079284
CT, FL, ID, NY, OK, TX
-
- Surgery Physician
- Greenville, SC
- NPI 1952387979
-
- Registered Dietitian
- Surprise, AZ
- NPI 1790138436
-
- Physician Assistant
- Wichita, KS
- NPI 1376026047
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.