Active NPI
Heather Mullins
- Physical Therapy Assistant
- Tyler, TX
National Provider Identifier
1821415639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2098362
- Practice address
- 100 E. Ferguson Ste.1204
Tyler, TX 75702 - Phone
- (903) 509-2040
- Fax
- (903) 534-5873
- NPI assigned
- Mar 19, 2014
- Last updated
- Mar 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 2098362 | TX | Primary |
Addresses
Primary practice location
100 E. Ferguson Ste.1204
Tyler, TX 75702
Mailing address
4074 Red Cedar Rd
Big Sandy, TX 75755-4264
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2098362 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1821415639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4074 RED CEDAR RD",
"city": "BIG SANDY",
"state": "TX",
"postal_code": "757554264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E. FERGUSON STE.1204",
"city": "TYLER",
"state": "TX",
"postal_code": "75702",
"telephone_number": "903-509-2040",
"fax_number": "903-534-5873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINS",
"first_name": "HEATHER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-19",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2098362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.