Felicia Helene Mullane

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0150731 Issued in NY

Practice address

13776 Centerline Road
South Wales, NY 14139-9790

Phone

(716) 655-6131

Fax

(716) 655-6131

NPI assigned

Apr 27, 2007

Last updated

Apr 8, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Felicia Helene Mullane Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1801016142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13776 CENTERLINE ROAD",
            "city": "SOUTH WALES",
            "state": "NY",
            "postal_code": "141399790",
            "telephone_number": "716-655-6131",
            "fax_number": "716-655-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13776 CENTERLINE ROAD",
            "city": "SOUTH WALES",
            "state": "NY",
            "postal_code": "141399790",
            "telephone_number": "716-655-6131",
            "fax_number": "716-655-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLANE",
        "first_name": "FELICIA",
        "middle_name": "HELENE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0150731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FELICIA",
            "last_name": "MULLANE",
            "middle_name": "HELENE",
            "prefix": "MRS.",
            "credential": "MSPT,CMTPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sarajane Manly Brognano, CCC-SLP
• Eddy Capote Jr. MD PC
• Richard Thomas Linn Jr., PH.D.
• Judith Stadel
• Melissa J Swartz, MSED CCC-SLP

• Physical Therapist in South Wales, NY
• Providers in South Wales, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.