Individual provider Active NPI

Thomas G Mulvey, M.S., P.T., M.B.A.

  • Physical Therapist
  • Oak Lawn, IL
National Provider Identifier
1528285681
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070005080 Issued in IL
Practice address
4004 W 111TH St
Oak Lawn, IL 60453-5703
Phone
(708) 424-4025
Fax
(708) 424-4591
NPI assigned
Apr 19, 2007
Last updated
Nov 24, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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 070005080 IL Primary

Addresses

Primary practice location

4004 W 111TH St
Oak Lawn, IL 60453-5703

Mailing address

14148 William Dr
Orland Park, IL 60462-2019
Phone (708) 460-0095

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121115000580 IL Practitioner - Physical Therapist in Private Practice 3779734082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4004 W 111TH St
Oak Lawn, IL 60453-5703
Phone (708) 424-4025

Merit-based Incentive Payment System (MIPS)

Final score
90.5 of 100Reported as group
Quality
100
Improvement activities
40
Cost
68.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas G. Mulvey , M.S., P.T., M.B.a., P.C. Physical Therapist CurrentSince Oct 30, 2012 Accepting new patients

Locations

4114 Southwest Hwy
Hometown, IL 60456
Phone (708) 424-4025

4004 W 111th St
Oak Lawn, IL 60453
Phone (708) 424-4025

11140 W 179th St
Orland Park, IL 60467
Phone (708) 478-7226

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1528285681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14148 WILLIAM DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622019",
            "telephone_number": "708-460-0095",
            "fax_number": "708-424-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 W 111TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535703",
            "telephone_number": "708-424-4025",
            "fax_number": "708-424-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULVEY",
        "first_name": "THOMAS",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "M.S., P.T., M.B.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070005080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.