Active NPI
Supriya S Mulik
- Physical Therapist
- Phoenixville, PA
National Provider Identifier
1871969410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT023984
- Practice address
- 3000 Balfour Cir
Phoenixville, PA 19460-2144 - Phone
- (484) 920-6137
- NPI assigned
- Aug 18, 2015
- 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 Therapist | 225100000X | PT023984 | PA | Primary |
Addresses
Primary practice location
3000 Balfour Cir
Phoenixville, PA 19460-2144
Mailing address
602 Brooke Dr
Royersford, PA 19468-1865
Phone (573) 201-6297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
134 Lancaster Ave
Malvern, PA 19355-2123
134 Lancaster Ave
Malvern, PA 19355-2144
1939 Bice Rd
Soddy Daisy, TN 37379-3401
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT023984 | PA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Potential Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
134 Lancaster Ave
Malvern, PA 19355
Phone (610) 249-0001
250 W Lancaster Ave
Ste 220
Paoli, PA 19301
Phone (484) 413-2572
Organizations & group practices 1
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.
-
- Physical Therapist
- Malvern, PA
- NPI 1922591536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454544000000",
"number": "1871969410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 BROOKE DR",
"city": "ROYERSFORD",
"state": "PA",
"postal_code": "194681865",
"telephone_number": "573-201-6297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 BALFOUR CIR",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194602144",
"telephone_number": "484-920-6137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULIK",
"first_name": "SUPRIYA",
"middle_name": "S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-18",
"last_updated": "2016-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT023984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenixville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.