Organization Active NPI

Thomas G. Mulvey , M.S., P.T., M.B.a., P.C.

Doing business as Athletex Physical Therapy

  • Physical Therapist
  • Orland Park, IL
National Provider Identifier
1962629287
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
THOMAS G. MULVEY , M.S., P.T., M.B.A., P.C.
Doing business as
Athletex Physical Therapy
Practice address
11140 W 179TH St
Orland Park, IL 60467-9435
Phone
(708) 478-7226
Fax
(708) 478-7229
NPI assigned
Apr 19, 2007
Last updated
Oct 31, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
ATHLETEX PHYSICAL THERAPYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Thomas Gerard Mulvey, P.T.NPI 1528285681
Title
Owner Physical Therapist
Phone
(708) 424-4025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

11140 W 179TH St
Orland Park, IL 60467-9435

Mailing address

11140 W 179TH St
Orland Park, IL 60467-9435
Phone (708) 478-7226

Other names 1

  • Athletex Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120425000721 IL Part B Supplier - Clinic/Group Practice 4880856517 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Oak Lawn, IL; Orland Park, IL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Thomas G Mulvey Ms PT2 organizations share this tax ID, including this one
Part of
Thomas G Mulvey Ms PT

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11140 W 179th St
Orland Park, IL 60467
Phone (708) 478-7226

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1962629287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11140 W 179TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679435",
            "telephone_number": "708-478-7226",
            "fax_number": "708-478-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11140 W 179TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604679435",
            "telephone_number": "708-478-7226",
            "fax_number": "708-478-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS G. MULVEY , M.S., P.T., M.B.A., P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATHLETEX PHYSICAL THERAPY",
        "enumeration_date": "2007-04-19",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "MULVEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "OWNER  PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "708-424-4025",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athletex Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.