Jacob Mulkey, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT37849 Issued in FL

Practice address

27371 S 4410 Rd
Vinita, OK 74301-7953

Phone

(918) 256-4800

NPI assigned

Jun 21, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

83.26 of 100Reported as group

Quality

86.58

Improvement activities

40

Cost

68.79

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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.

• Optimal Performance and Physical Therapies Bayside LLC

  • Physical Therapist
  • Clearwater, FL
  • NPI 1538630801
  Medicare reassignment NPD

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1619546041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3332 RUE ROYALE ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633018218",
            "telephone_number": "314-807-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27371 S 4410 RD",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743017953",
            "telephone_number": "918-256-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULKEY",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Morgan, PHARM.D.
• Jessica J Morrison
• Lora Jean Morrison
• Michelle D Moss, PHARMD
• Motor Mouth Vinita
• Larry Dwayne Mullin
• Harold Maxwell Murphy
• Muskogee Vamc
• Clifford Gene Myers Jr.
• Joshua D Myers

• Physical Therapist in Vinita, OK
• Providers in Vinita, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.