Mary Mundrane, MPT,ATC,CHT

Primary specialty

Hand Physical TherapistTaxonomy code 2251H1200X

License

J10000814 Issued in DE

Practice address

230 Beiser Blvd
Suite 103
Dover, DE 19904-7793

Phone

(302) 736-0994

Fax

(302) 736-5529

NPI assigned

Apr 12, 2006

Last updated

Feb 1, 2008By 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 6

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Physical Therapy and Sports Performance Limited PartnershipGroup PAC ID 2668774167, 31 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.

• Premier Physical Therapy and Sports Performance Limited Partnership

  • Physical Therapist
  • Middletown, DE
  • NPI 1417320151
  Medicare reassignment Care Compare group NPD
• Premier Physical Therapy and Sports Performance Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Milford, DE
  • NPI 1457943623
  NPD
• Christiana Care Health Initiatives

  dba Christiana care Imaging services

  • Diagnostic Radiology Physician
  • Newark, DE
  • NPI 1417993189
  NPD (past)
• Christiana Care Health Initiatives, Inc

  dba Christiana Care Physical Therapy Plus

  • Physical Therapist
  • Newark, DE
  • NPI 1609807577
  NPD (past)
• Ati Holdings, LLC

  dba ATI Physical Therapy

  • Physical Therapy Clinic/Center
  • Rising Sun, MD
  • NPI 1396781050

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1932163672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BEISER BLVD",
            "address_2": "SUITE 103",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047793",
            "telephone_number": "302-736-0994",
            "fax_number": "302-736-5529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 BEISER BLVD",
            "address_2": "SUITE 103",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199047793",
            "telephone_number": "302-736-0994",
            "fax_number": "302-736-5529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDRANE",
        "first_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "MPT,ATC,CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J10000814",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "DE",
            "license": "J10000814",
            "primary": false
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "DE",
            "license": "J10000814",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "DE",
            "license": "J10000814",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "DE",
            "license": "J10000814",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "DE",
            "license": "J3-0000050",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0717329000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00294512",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wadia R Mulla, MD
• Natasha L Mullen, LPCMH
• Wanda Mullen, ICAADC, LMSW
• Kristi Mullings
• Michele Janine Munday, LPCMH
• Maryam Munir, MD
• Azhar Ahmed Munshi, PHARMD
• Jonelle Murph
• Jayne Murphy, NP
• Kendal Marie Murphy, PA-C

• Physical Therapist in Dover, DE
• Providers in Dover, DE by specialty
• Physical Therapist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.