Justine McCormick Mullinnix, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3432 Issued in SC

Practice address

2006 Pelham Rd
Greenville, SC 29615-4005

Phone

(877) 648-1197

NPI assigned

Nov 19, 2015

Last updated

Nov 19, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1447891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1528432184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W BUTLER RD APT 412",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296074814",
            "telephone_number": "803-968-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 PELHAM RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154005",
            "telephone_number": "877-648-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINNIX",
        "first_name": "JUSTINE",
        "middle_name": "MCCORMICK",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SC",
            "license": "3432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC LLR",
            "identifier": "3432",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ahychel Mullikin, MSN, RN
• Suzanne Green Mullikin, APRN, FNP-BC
• Crystal Suzanne Mullinax, FNP
• Lee Ashley Mullinax, MD
• Merrylee Ann Mullinax, FNP-C
• Mullins Health Partners, Inc. (Vital Care of Greenville)
• Janet B Mullins, CRNA
• Matthew Lewis Mullins
• Zoe Mullins
• Elizabeth R Mullis, D.M.D.

• Physical Therapy Assistant in Greenville, SC
• Providers in Greenville, SC by specialty
• Physical Therapy Assistant in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.

Verify at the official NPI Registry.