Kelly Marie Mullen, PT, DPT | |
269 Main St, Portland, CT 06480-1857 | |
(860) 788-7976 | |
Not Available |
Full Name | Kelly Marie Mullen |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 7 Years |
Location | 269 Main St, Portland, Connecticut |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053890301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 012642 (Connecticut) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Fox Rehab Pt Ct, Llc | 8820235575 | 58 |
Provider Name | Fox Rehab Pt Ct, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1245584234 PECOS PAC ID: 8820235575 Enrollment ID: O20130516000426 |
Provider Name | Symmetry Physical Therapy, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790023752 PECOS PAC ID: 0749427771 Enrollment ID: O20130923000262 |
Mailing Address | Practice Location Address |
---|---|
Kelly Marie Mullen, PT, DPT 269 Main St, Portland, CT 06480-1857 Ph: (860) 836-7902 | Kelly Marie Mullen, PT, DPT 269 Main St, Portland, CT 06480-1857 Ph: (860) 788-7976 |
Jillian Cacopardo, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14 Jordan Ln, Portland, CT 06480 Phone: 774-218-3706 | |
Janet S. Colonghi, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 595 Main St, Portland, CT 06480 Phone: 860-759-2011 Fax: 860-342-4104 | |
Mrs. Amy Elizabeth Dean, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 333 Main St, Portland, CT 06480 Phone: 860-342-0370 | |
Body Flex Physical Therapy Physical Therapist Medicare: Medicare Enrolled Practice Location: 28 Kristen Dr, Portland, CT 06480 Phone: 860-759-2011 Fax: 860-342-4104 | |
Mr. Keith Arcari, P.T. Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 269 Main St, Portland, CT 06480 Phone: 860-788-7976 Fax: 877-532-7987 | |
Deborah B. Heilman, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25 Wilcox Ln, Portland, CT 06480 Phone: 860-604-8960 |