Active NPI
Kurtis P Mullaney, DPT, ATC/L
- Physical Therapist
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT30671
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kmullaney2659267@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
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
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 100
- Improvement activities
- 40
- Cost
- 74.03
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL3440 | FL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Goetze Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Jacksonville Orthopaedic Institute Inc | Physical Therapist | Current | Accepting new patients |
| Jacksonville Orthopaedic Institute Inc | Physical Therapist | Past | Accepting new patients |
| Jacksonville Orthopaedic Institute Inc | Physical Therapist | Past | 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
- 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.
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Physical Therapist
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- Physical Therapist
- Jacksonville, FL
- NPI 1942294640
-
- Multi-Specialty Clinic/Center
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- NPI 1790772317
-
- Physical Therapist
- Jacksonville, FL
- NPI 1154581379
-
- Physical Therapist
- Jacksonville Beach, FL
- NPI 1902954332
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1952394603
Physical Therapist
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.