Individual provider Active NPI

Mitchell A Mula, P.T

  • Physical Therapist
  • Prairieville, LA
National Provider Identifier
1538232277
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
03268 Issued in LA
Practice address
17534 Old Jefferson Hwy
Suite a-1
Prairieville, LA 70769-3929
Phone
(225) 673-4370
Fax
(225) 673-2241
NPI assigned
Nov 17, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 03268 LA Primary

Addresses

Primary practice location

17534 Old Jefferson Hwy
Suite a-1
Prairieville, LA 70769-3929

Mailing address

17534 Old Jefferson Hwy
Suite a-1
Prairieville, LA 70769-3929
Phone (225) 673-4370

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

LicenseStateTypeSpecialty
03268LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Quest Physical Therapy Physical Therapist PastSince Sep 10, 1999 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, 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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538232277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17534 OLD JEFFERSON HWY",
            "address_2": "SUITE A-1",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693929",
            "telephone_number": "225-673-4370",
            "fax_number": "225-673-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17534 OLD JEFFERSON HWY",
            "address_2": "SUITE A-1",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693929",
            "telephone_number": "225-673-4370",
            "fax_number": "225-673-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULA",
        "first_name": "MITCHELL",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "03268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairieville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.