Dr Gary John Mullen, DPT | |
3530 Lochinvar Ave, Santa Clara, CA 95051-5108 | |
(408) 173-7538 | |
(408) 479-3835 |
Full Name | Dr Gary John Mullen |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 13 Years |
Location | 3530 Lochinvar Ave, Santa Clara, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568704799 | NPI | - | NPPES |
1245572486 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 40043 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mullen Physical Therapy | 2668774019 | 2 |
Provider Name | Mullen Physical Therapy |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245572486 PECOS PAC ID: 2668774019 Enrollment ID: O20151231001598 |
Mailing Address | Practice Location Address |
---|---|
Dr Gary John Mullen, DPT 3530 Lochinvar Ave, Santa Clara, CA 95051-5108 Ph: (408) 905-6483 | Dr Gary John Mullen, DPT 3530 Lochinvar Ave, Santa Clara, CA 95051-5108 Ph: (408) 173-7538 |
Mrs. Bridget M. Bouyssounouse, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Dept. #174, Santa Clara, CA 95051 Phone: 408-851-1466 | |
Karissa Taan, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1492 | |
Darlene Alexandria Remo Villatuya, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy Dept 174, Santa Clara, CA 95051 Phone: 408-851-1400 | |
Chelsea Bendebel, Physical Therapist Medicare: Medicare Enrolled Practice Location: 900 Lafayette St Ste 105, Santa Clara, CA 95050 Phone: 408-293-7794 | |
Dr. James Purayampallil Gipson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1026 Monroe St, Santa Clara, CA 95050 Phone: 408-246-5861 | |
Brooke Noelle Strishock, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 710 Lawrence Expy, Dept 174, Santa Clara, CA 95051 Phone: 408-851-4000 | |
Linda Trinh, Physical Therapist Medicare: Medicare Enrolled Practice Location: 710 Lawrence Expy, Santa Clara, CA 95051 Phone: 408-851-1400 |