Individual provider Active NPI

Andrew Mullins

  • Physical Therapist
  • Vero Beach, FL
National Provider Identifier
1578916219
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTT31502 Issued in FL
Practice address
1155 35TH LN
Ste 100
Vero Beach, FL 32960-6521
Phone
(205) 259-3991
Fax
(205) 683-2468
NPI assigned
Jul 18, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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 PTT31502 FL Primary

Addresses

Primary practice location

1155 35TH LN
Ste 100
Vero Beach, FL 32960-6521

Mailing address

1155 35TH LN
Ste 100
Vero Beach, FL 32960-6521
Phone (205) 259-3991

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160913001849 FL Practitioner - Physical Therapist in Private Practice 3375839665 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vero Orthopaedics II PAGroup PAC ID 2567454051, 48 clinicians

Practice addresses (Care Compare)

801 Wellness Way
Suite 100
Sebastian, FL 32958-3783
Phone (772) 388-9510

Merit-based Incentive Payment System (MIPS)

Final score
85.95 of 100Reported as group
Quality
82.89
Promoting interoperability
98
Improvement activities
40
Cost
71.95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTT31502FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vero Orthopaedics II PA CurrentSince Jul 1, 2016 Accepting new patients
Vero Orthopaedics II PA PastSince Jul 1, 2016 Accepting new patients

Locations

801 Wellness Way
Ste 100
Sebastian, FL 32958
Phone (772) 388-9510

3955 Indian River Blvd
Ste 100
Vero Beach, FL 32960
Phone (772) 569-2330

1155 35th Ln
Ste 100
Vero Beach, FL 32960
Phone (772) 569-2330

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: andrew.mullins.p1@direct.veroortho.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468800000000",
    "number": "1578916219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 35TH LN",
            "address_2": "STE 100",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606521",
            "telephone_number": "205-259-3991",
            "fax_number": "205-683-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 35TH LN",
            "address_2": "STE 100",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606521",
            "telephone_number": "205-259-3991",
            "fax_number": "205-683-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "ANDREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PTT31502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.