Active NPI
Edward Patrick Mulligan, PT, DPT, OCS, SCS, A
- Physical Therapist
- Dallas, TX
National Provider Identifier
1821164211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 5323 Harry Hines Blvd
Dallas, TX 75390-8876 - Phone
- (214) 648-1553
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
5323 Harry Hines Blvd
Dallas, TX 75390-8876
Mailing address
1901 Pintail Pkwy
Euless, TX 76039-2183
Phone (817) 739-8481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1032399 | Other | TX | LICENSE# |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338336000000",
"number": "1821164211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 PINTAIL PKWY",
"city": "EULESS",
"state": "TX",
"postal_code": "760392183",
"telephone_number": "817-739-8481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5323 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "753908876",
"telephone_number": "214-648-1553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLIGAN",
"first_name": "EDWARD",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "PT, DPT, OCS, SCS, A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2012-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE#",
"identifier": "1032399",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.