Amber Gayle McMullan, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1167940 Issued in TX

Practice address

1901 W Highway 90
Alpine, TX 79830-3311

Phone

(432) 837-5918

Fax

(432) 837-9937

NPI assigned

Aug 2, 2006

Sex

Female

Sole proprietor

Yes

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.

• Phytex Rehabilitation, LLC

  • Physical Therapist
  • Odessa, TX
  • NPI 1053405977
  Medicare reassignment Care Compare group NPD
• Phytex Rehabilitation, LLC

  • Physical Therapist
  • Humble, TX
  • NPI 1366937591
  NPD
• Phytex Rehabilitation, LLC

  • Physical Therapist
  • Odessa, TX
  • NPI 1982843454
  NPD
• Cooper & Bush Physical Therapy LLC

  • Physical Therapist
  • Benbrook, TX
  • NPI 1841220068
  NPD (past)
• Ideal Physical Therapy of Texas LLC

  • Durable Medical Equipment & Medical Supplies
  • Murphy, TX
  • NPI 1902773161
  NPD (past)
• Tim Pittman, Inc.

  • Chiropractor
  • San Angelo, TX
  • NPI 1841392966
  NPD (past)

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phytex Rehabilitation, LLC 10 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

• Miss Amber Gayle Dyer Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1477560266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 N GRANDVIEW AVE STE 400",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797611621",
            "telephone_number": "432-550-4700",
            "fax_number": "432-550-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W HIGHWAY 90",
            "city": "ALPINE",
            "state": "TX",
            "postal_code": "798303311",
            "telephone_number": "432-837-5918",
            "fax_number": "432-837-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLAN",
        "first_name": "AMBER",
        "middle_name": "GAYLE",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1167940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "366720601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TEXAS",
            "identifier": "8TAE46",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "DYER",
            "middle_name": "GAYLE",
            "prefix": "MISS",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• All providers in Alpine, TX
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.