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

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Amber Gayle Dyer Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phytex Rehabilitation, LLCGroup PAC ID 7012016959, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Phytex Rehabilitation, LLC

  dba PhyTEx Rehabilitation & Sports Medicine Associates

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

  dba PhyTEx Rehabilitation & Sports Medicine Associates

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

  dba PhyTEx West University

  • 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.

  dba Omega Chiropractic

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

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

{
    "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": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "DYER",
            "middle_name": "GAYLE",
            "prefix": "MISS",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joann K Lister, FNP-C
• Marathon Isd
• Marfa Isd
• William Aaron Mason, FNP
• Mistie Lea McBride, DPT
• Med-Trans Corporation
• Druanne R Mills
• Lidiore John A. Miranda
• Missionary Baptist Foundation of America, Inc (Alpine Valley Care Center)
• Gerhard Moeller, M.D.

• Physical Therapist in Alpine, TX
• Providers in Alpine, TX by specialty
• 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.