Individual provider Active NPI

Jennifer Mullen, DPT

  • Physical Therapist
  • Jefferson City, MO
National Provider Identifier
1467249052
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2018028501
Practice address
3600 Country Club Dr Ste 530B
Jefferson City, MO 65109-1060
Phone
(573) 606-7100
NPI assigned
Apr 24, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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 2018028501 Primary

Addresses

Primary practice location

3600 Country Club Dr Ste 530B
Jefferson City, MO 65109-1060

Mailing address

810 W Green Meadows Rd
Columbia, MO 65203-3010
Phone (573) 881-5498

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250618000627 MO Practitioner - Physical Therapist in Private Practice 6800307653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Missouri, Columbia School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Outbound Rehabilitation and Wellness LLCGroup PAC ID 1850543711, 8 clinicians

Practice addresses (Care Compare)

1739 Elm CT
Suite 205206
Jefferson City, MO 65101-4303
Phone (573) 681-0447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Outbound Rehabilitation & Wellness LLC Physical Therapist CurrentSince May 19, 2025 Accepting new patients

Locations

1739 Elm Ct
Ste 205
Jefferson City, MO 65101
Phone (573) 681-0447

3600 Country Club Dr
Ste 530B
Jefferson City, MO 65109
Phone (573) 606-7100

3600 Country Club Dr
Ste 530
Jefferson City, MO 65109
Phone (573) 681-0447

1739 Elm Ct
Ste 205206
Jefferson Cty, MO 65101
Phone (573) 606-7100

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.

NPI Registry JSON

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1467249052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 W GREEN MEADOWS RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652033010",
            "telephone_number": "573-881-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 COUNTRY CLUB DR STE 530B",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651091060",
            "telephone_number": "573-606-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": "2018028501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.