Organization Active NPI

Dr. Megan Mullin Physical Therapy, P.C.

  • Physical Therapist
  • San Luis Obispo, CA
National Provider Identifier
1982274551
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
DR. MEGAN MULLIN PHYSICAL THERAPY, P.C.
Practice address
188 Tank Farm Rd
San Luis Obispo, CA 93401-7528
Phone
(518) 888-5973
NPI assigned
Jun 28, 2021
Last updated
Jun 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Authorized official

Name
Megan Joy Mullin, DPTNPI 1437524915
Title
Owner, PT
Phone
(518) 888-5973

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

188 Tank Farm Rd
San Luis Obispo, CA 93401-7528

Mailing address

PO Box 3180
Shell Beach, CA 93448-3180
Phone (518) 888-5973

Other practice location 1

319 Maverick Rd
Woodstock, NY 12498
Phone (518) 888-5973

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1982274551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3180",
            "city": "SHELL BEACH",
            "state": "CA",
            "postal_code": "934483180",
            "telephone_number": "518-888-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 TANK FARM RD",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934017528",
            "telephone_number": "518-888-5973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "319 Maverick Rd",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "NY",
            "postal_code": "12498",
            "country_code": "US",
            "telephone_number": "518-888-5973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. MEGAN MULLIN PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-07",
        "status": "A",
        "authorized_official_last_name": "MULLIN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "OWNER, PT",
        "authorized_official_telephone_number": "518-888-5973",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.