Abigail Mulligan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11982 Issued in CT

Practice address

138 Hopmeadow St
Weatogue, CT 06089-9793

Phone

(860) 413-2073

Fax

(860) 413-2081

NPI assigned

Oct 18, 2018

Last updated

Feb 14, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT, MA2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Live Every Day L.L.CGroup PAC ID 4284839176, 6 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.

• Live Every Day LLC

  • Orthopedic Physical Therapist
  • Suffield, CT
  • NPI 1194023879

  MA

  Medicare reassignment Care Compare group NPD
• Live Every Day

  • Prosthetic/Orthotic Supplier
  • Weatogue, CT
  • NPI 1306267034
  NPD (past)
• Live Every Day L.L.C

  • Prosthetic/Orthotic Supplier
  • Suffield, CT
  • NPI 1598958720
  NPD (past)

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1962978874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 HOPMEADOW ST",
            "city": "WEATOGUE",
            "state": "CT",
            "postal_code": "060899793",
            "telephone_number": "860-413-2073",
            "fax_number": "860-413-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 HOPMEADOW ST",
            "city": "WEATOGUE",
            "state": "CT",
            "postal_code": "060899793",
            "telephone_number": "860-413-2073",
            "fax_number": "860-413-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIGAN",
        "first_name": "ABIGAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-18",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "23948",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "11982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitra Marvasti-Sitterly
• Madelaine Rose McCarthy
• Kaitlyn McIsaac, OT
• Isabela Miani
• Mary Monahan, DPT
• Susan Mulligan, OTR/L
• George Allison Murphy, DMD
• Musculoskeletal Health Centers LLC
• Johanna White Needham
• Colleen Occhino, SLP

• Physical Therapist in Weatogue, CT
• Providers in Weatogue, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.