Individual provider Active NPI

Kurtis P Mullaney, DPT, ATC/L

  • Physical Therapist
  • Jacksonville, FL
National Provider Identifier
1669857959
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT30671 Issued in FL
Practice address
4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone
(904) 953-2000
NPI assigned
Jul 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT30671 FL Primary
Athletic Trainer 2255A2300X AL3440 FL

Addresses

Primary practice location

4500 San Pablo Rd S
Jacksonville, FL 32224-1865

Mailing address

PO Box 860912
Minneapolis, MN 55486-0912

Other practice location 1

1577 Roberts Dr Ste 320
Jacksonville Beach, FL 32250-3266
Phone (904) 247-3324

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmullaney2659267@ehrdirect.mayoclinicmsg.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150923002531 FL Practitioner - Physical Therapist in Private Practice 9133436199 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacksonville Orthopaedic Institute IncGroup PAC ID 5193625499, 60 clinicians

Practice addresses (Care Compare)

1325 San Marco Blvd
Suite 200
Jacksonville, FL 32207-8566
Phone (904) 346-3465

1577 Roberts Dr
Suite 320
Jacksonville Beach, FL 32250-3266
Phone (904) 247-3324

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Improvement activities
40
Cost
74.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AL3440FLMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
John Goetze Physical Therapy, Inc Physical Therapist CurrentSince Jun 8, 2020 Accepting new patients
Jacksonville Orthopaedic Institute Inc Physical Therapist CurrentSince Aug 10, 2015 Accepting new patients
Jacksonville Orthopaedic Institute Inc Physical Therapist Past Accepting new patients
Jacksonville Orthopaedic Institute Inc Physical Therapist PastSince Dec 13, 2020 Accepting new patients
MDRS Spine & Sport, Inc Physical Therapist Past Accepting new patients

Locations

1325 San Marco Blvd
Ste 102
Jacksonville, FL 32207
Phone (904) 557-9021

1325 San Marco Blvd
Ste 200
Jacksonville, FL 32207
Phone (904) 346-3465

7855 Argyle Forest Blvd
Ste 504
Jacksonville, FL 32244
Phone (904) 387-0006

1577 Roberts Dr
Ste 320
Jacksonville Beach, FL 32250
Phone (904) 247-3324

1577 Roberts Dr
Ste 225226
Jacksonville Beach, FL 32250
Phone (904) 241-1204

1400 Marsh Landing Pkwy
Ste 112
Jax Bch, FL 32250
Phone (904) 249-2100

Interoperability endpoints

  • Direct secure messaging: kmullaney2659267@ehrdirect.mayoclinicmsg.org

Organizations & group practices 6

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": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1669857959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860912",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 SAN PABLO RD S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241865",
            "telephone_number": "904-953-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1577 Roberts Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "322503266",
            "country_code": "US",
            "telephone_number": "904-247-3324",
            "fax_number": "904-247-3926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLANEY",
        "first_name": "KURTIS",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DPT, ATC/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-28",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT30671",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL3440",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmullaney2659267@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "4500 San Pablo Rd S",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322241865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.