Keelan Mullins-Zugelder

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

36167 Issued in FL

Practice address

15751 San Carlos Blvd Ste 4
Fort Myers, FL 33908-3315

Phone

(239) 337-2739

NPI assigned

Jan 18, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Apex Physical Therapy of Southwest Florida, Inc.Group PAC ID 1759308901, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Apex Physical Therapy of Southwest Florida, Inc.

  • Physical Therapist
  • Fort Myers, FL
  • NPI 1821014069
  Medicare reassignment Care Compare group NPD
• Concepts in Rehab Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Fort Myers, FL
  • NPI 1558458273
  NPD (past)

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1740726405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15751 SAN CARLOS BLVD STE 4",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083315",
            "telephone_number": "239-337-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15751 SAN CARLOS BLVD STE 4",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083315",
            "telephone_number": "239-337-2739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10501 Fgcu Blvd S",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339656607",
            "country_code": "US",
            "telephone_number": "317-413-7156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLINS-ZUGELDER",
        "first_name": "KEELAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-18",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "36167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Muller, D.O.
• Elenita Masamong Mulles, PT
• Gerard Mulles, MD
• Mayflor Q Mulles, P.T.
• Suzanne Louise Mullin, PT
• Kristina Dawn Mullins, PA C
• Multi-Care Medical of SW Florida, PLLC
• Multi-Care Orthopedics and Spinal Rehabilitation, PLLC
• Nathneal G Mulugeta, PHARMD
• Christopher Hugh Mulvey, DPT

• Physical Therapist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.