Andrea Nicole Mulligan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2763 Issued in NV

Practice address

10561 Jeffreys St Ste 200
Henderson, NV 89052-4268

Phone

(702) 407-9431

Fax

(702) 407-9461

NPI assigned

Nov 17, 2012

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

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Therapy Centers LLCGroup PAC ID 0345202834, 8 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.

• Comprehensive Therapy Centers, LLC

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1699861666

  NV, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Comprehensive Therapy Centers, LLC

  • Physical Therapist
  • Pahrump, NV
  • NPI 1942426549
  NPD
• Comprehensive Therapy Centers, LLC

  • Physical Therapist
  • Henderson, NV
  • NPI 1942472436
  NPD

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

{
    "created_epoch": "1353110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542240000000",
    "number": "1801130653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 E SUNSET RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891207202",
            "telephone_number": "702-932-4308",
            "fax_number": "702-837-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10561 JEFFREYS ST STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524268",
            "telephone_number": "702-407-9431",
            "fax_number": "702-407-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIGAN",
        "first_name": "ANDREA",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-17",
        "last_updated": "2018-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "2763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Muir
• Kamalini Mukerjee, RD
• Brandon Mukes
• Jawan Mullen Sr., CDAC INTERN
• Suzette Mullen
• Christina M Mulloy-Groh, PT
• Multigenerational Home Modifications LLC
• John Mulzet
• Lisa Abuk Mun
• Suzy Mun

• Physical Therapist in Henderson, NV
• Providers in Henderson, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.