Clare Mutters, PTA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTA002014 Issued in GA

Practice address

3615 Braselton Hwy Ste 101
Dacula, GA 30019-5907

Phone

(770) 904-0772

NPI assigned

Dec 11, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Physiotherapy Associates

  • Physical Therapist
  • Lithia Springs, GA
  • NPI 1306905765
  NPD (past)
• Physiotherapy Associates Inc

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740340892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 518",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302370518",
            "telephone_number": "770-631-8277",
            "fax_number": "770-631-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 BRASELTON HWY STE 101",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300195907",
            "telephone_number": "770-904-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTTERS",
        "first_name": "CLARE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PTA002014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTA LISC #",
            "identifier": "PTA002014",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hala Muhanna, PHARM.D.
• Mulberry Primary Care LLC
• Multi-Lingual Speech Group, LLC
• Thulasiswarnalatha Muppuru, DDS
• Tyler Joseph Musselwhite, PT
• Tina Maambo Mwale, RN
• N.E.a Healthcare
• N8 Health, LLC
• Greta Shane Naike-Peters, PHARMD
• David Jonathan Najjar, M.D.

• Physical Therapist in Dacula, GA
• Providers in Dacula, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.