Active NPI
Megan Mullin, PT
- Physical Therapist
- Woodstock, NY
National Provider Identifier
1437524915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 43040
- Practice address
- 319 Maverick Rd
Woodstock, NY 12498-2501 - Phone
- (707) 621-2090
- NPI assigned
- Dec 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 43040 | CA | Primary |
Addresses
Primary practice location
319 Maverick Rd
Woodstock, NY 12498-2501
Mailing address
PO Box 3180
Shell Beach, CA 93448-3180
Phone (518) 888-5973
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43040 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carnahan Therapy the Work Center, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Therapist
- Lompoc, CA
- NPI 1407970791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627344000000",
"number": "1437524915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3180",
"city": "SHELL BEACH",
"state": "CA",
"postal_code": "934483180",
"telephone_number": "518-888-5973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 MAVERICK RD",
"city": "WOODSTOCK",
"state": "NY",
"postal_code": "124982501",
"telephone_number": "707-621-2090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLIN",
"first_name": "MEGAN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-09",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "43040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.