Individual provider Active NPI

Emily Mullen

  • Physical Therapist
  • Shelbyville, KY
National Provider Identifier
1811501422
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007974 Issued in KY
Practice address
160 Frankfort Rd
Shelbyville, KY 40065-9433
Phone
(502) 257-8452
NPI assigned
Sep 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 007974 KY Primary

Addresses

Primary practice location

160 Frankfort Rd
Shelbyville, KY 40065-9433

Mailing address

3021 Dale St
Ashland, KY 41101-4803
Phone (606) 694-5121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201012002348 KY Practitioner - Physical Therapist in Private Practice 9133549298 Reassigns benefits to 1 organization
I20210406000090 ME Practitioner - Physical Therapist in Private Practice 9133549298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SN Kentuckiana Rehab, LLCGroup PAC ID 1254671464, 339 clinicians

Practice addresses (Care Compare)

160 Frankfort Rd
Shelbyville, KY 40065-9433
Phone (502) 257-8452

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SN Kentuckiana Rehab, LLC CurrentSince Sep 14, 2020 Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince Sep 14, 2020 Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc. CurrentSince Mar 1, 2021 Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc Physical Therapist Current Accepting new patients
Saco Bay Orthopaedic and Sports Physical Therapy, Inc CurrentSince Mar 1, 2021 Accepting new patients
SN Kentuckiana Rehab, LLC Physical Therapist Current Accepting new patients
SN Kentuckiana Rehab, LLC Past Accepting new patients
SN Kentuckiana Rehab, LLC Past Accepting new patients

Locations

2152 S Hurstbourne Pkwy
Louisville, KY 40220
Phone (502) 349-6961

210 E Gray St
Ste 807
Louisville, KY 40202
Phone (502) 587-9350

160 Frankfort Rd
Shelbyville, KY 40065
Phone (502) 257-8452

895 Portland Rd
Saco, ME 04072
Phone (207) 272-4973

400 North St
#2
Saco, ME 04072
Phone (207) 282-7121

4714 Gettysburg Rd
Mechanicsburg, PA 17055
Phone (888) 735-6332

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1811501422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 DALE ST",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411014803",
            "telephone_number": "606-694-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 FRANKFORT RD",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400659433",
            "telephone_number": "502-257-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLEN",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "007974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.