Megan Louise Mullanix, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0362 Issued in SD

Practice address

2006 Mount Rushmore Rd
Rapid City, SD 57701-4622

Phone

(605) 342-3110

Fax

(605) 342-3110

NPI assigned

Nov 15, 2012

Last updated

Nov 15, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Megan Louise Janssen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1679817522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 MOUNT RUSHMORE RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014622",
            "telephone_number": "605-342-3110",
            "fax_number": "605-342-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 MOUNT RUSHMORE RD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577014622",
            "telephone_number": "605-342-3110",
            "fax_number": "605-342-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLANIX",
        "first_name": "MEGAN",
        "middle_name": "LOUISE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "SD",
            "license": "0362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "JANSSEN",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mueller Counselling, LLC
• David W Mueller, DO
• Diana M Mueller, LPC-MH
• Jacob W Mueller
• Terri L Mueller, PA-C
• Craig Allen Mullins, M.A., L.P.C.-MH
• Wendy Ann Mullins
• Kelly Mullis
• Maritza Munoz, BS
• Chloe Murphy

• Physical Therapy Assistant in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Physical Therapy Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.