Jenny Mull, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

7877 Issued in TN

Practice address

300 Clinchfield St Ste 320
Kingsport, TN 37660-3856

Phone

(423) 251-4742

NPI assigned

Jan 29, 2024

Last updated

Jan 29, 2024By the provider in NPPES

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 TN

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ribbons Physical Therapy, LLCGroup PAC ID 9032549514, 3 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ribbons Physical Therapy, LLC

  • Physical Therapist
  • Kingsport, TN
  • NPI 1528607793

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1861254476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CLINCHFIELD ST STE 320",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603856",
            "telephone_number": "423-251-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CLINCHFIELD ST STE 320",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603856",
            "telephone_number": "423-251-4742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULL",
        "first_name": "JENNY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "7877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mountain States Health Alliance (Mountain States Rehabilitation at IPMC)
• Mountain States Health Alliance (Ballad Health Pharmacy)
• Mountain States Health Alliance (Indian Path Community Hospital)
• Mountain States Health Alliance Out-Patient Behavioral Health
• Mountain View Medical Center, LLC
• Angel Kaye Mullins, D.D.S.
• Austin Hunter Mullins, RN, AEMT, EXCPT
• Douglas Clayton Mullins II, D.D.S.
• Hanna Elizabeth Mullins, PHARMD, RPH
• Kacie Mullins

• Occupational Therapist in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Occupational Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.