Organization Active NPI

Mula Bandha LLC

  • Physical Therapist
  • Palm Beach Gardens, FL
National Provider Identifier
1619710183
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
MULA BANDHA LLC
Practice address
11380 Prosperity Farms Rd Ste 216
Palm Beach Gardens, FL 33410-3465
Phone
(561) 285-2366
Fax
(561) 270-4949
NPI assigned
Jun 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Katie Usher, DPTNPI 1962886481
Title
Physical Therapist, Owner
Phone
(561) 285-2366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

11380 Prosperity Farms Rd Ste 216
Palm Beach Gardens, FL 33410-3465

Mailing address

11380 Prosperity Farms Rd Ste 216
Palm Beach Gardens, FL 33410-3465
Phone (561) 285-2366

Other names 1

  • Kaizen Pelvic Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

11380 Prosperity Farms Rd
Ste 216
Palm Beach Gardens, FL 33410
Phone (561) 285-2366

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1619710183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11380 PROSPERITY FARMS RD STE 216",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103465",
            "telephone_number": "561-285-2366",
            "fax_number": "561-270-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11380 PROSPERITY FARMS RD STE 216",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103465",
            "telephone_number": "561-285-2366",
            "fax_number": "561-270-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULA BANDHA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "USHER",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "561-285-2366",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kaizen Pelvic Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.