Active NPI
Jennifer Lynn Mullen-Tyrpak
- Physical Therapist
- Harper Woods, MI
National Provider Identifier
1477799088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501008763
- Practice address
- 19701 Vernier Rd
Suite 280
Harper Woods, MI 48225-1467 - Phone
- (313) 884-8920
- NPI assigned
- Jan 2, 2009
- 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 | 5501008763 | MI | Primary |
Addresses
Primary practice location
19701 Vernier Rd
Suite 280
Harper Woods, MI 48225-1467
Mailing address
1134 Carol
Plymounth, MI 48190
Phone (734) 560-2616
Other names 1
- Jennifer Lynn Mullen
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 |
|---|---|---|---|
| 5501008763 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HC Rehab Solutions LLC | Physical Therapist | Past | Accepting new patients |
| In Home Rehab,LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Roseville, MI
- NPI 1942248422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426550400000",
"number": "1477799088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1134 CAROL",
"city": "PLYMOUNTH",
"state": "MI",
"postal_code": "48190",
"telephone_number": "734-560-2616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19701 VERNIER RD",
"address_2": "SUITE 280",
"city": "HARPER WOODS",
"state": "MI",
"postal_code": "482251467",
"telephone_number": "313-884-8920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLEN-TYRPAK",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-02",
"last_updated": "2015-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501008763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "MULLEN",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Harper Woods, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.