Sam Mullaney

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CP015253T Issued in KY

Practice address

1725 Scottsville Rd
Bowling Green, KY 42104-3349

Phone

(270) 467-9969

Fax

(270) 467-0716

NPI assigned

Jul 22, 2021

Last updated

Dec 16, 2022By the provider in NPPES

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

Other names 1

• Samuel Mullaney Other name

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1626912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1740853290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306393",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306393",
            "telephone_number": "615-373-1350",
            "fax_number": "615-373-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 SCOTTSVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043349",
            "telephone_number": "270-467-9969",
            "fax_number": "270-467-0716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Mallory Ln Ste 201",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370678235",
            "country_code": "US",
            "telephone_number": "615-771-0134",
            "fax_number": "615-771-8816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLANEY",
        "first_name": "SAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-22",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "13630",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "CP015253T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMUEL",
            "last_name": "MULLANEY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Msema Msafiri
• Louis Gerald Mudd, MD
• Taylor Michael Mudd
• Gary Mueller, M.D.
• Ariel Jade Mujakovic
• Mrinal Mullick, M.D.
• Magen Mullinix, PA-C
• Teresa Lynn Mullins, CSA
• Ashlea Munday, RBT
• Munef Medical Trans LLC

• Physical Therapist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.