Kelly Marie Mullen, PT, DPT in Portland, CT - Medicare Physical Therapist In Private Practice Provider

Kelly Marie Mullen, PT, DPT is a medicare enrolled "Physical Therapist" provider in Portland, Connecticut. She went to University Of New England, College Of Osteo Medicine and graduated in 2018 and has 8 years of diverse experience with area of expertise as Physical Therapist In Private Practice. She is a member of the group practice Symmetry Physical Therapy, Llc and her current practice location is 269 Main St, Portland, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 788-7976.

Kelly Marie Mullen is licensed to practice in Connecticut (license number 012642) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1053890301.

Contact Information

	Kelly Marie Mullen, PT, DPT
	269 Main St, Portland, CT 06480-1857
	(860) 788-7976
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Marie Mullen
Gender	Female
Speciality	Physical Therapist In Private Practice
Experience	8 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.

Medical Education and Training:

Kelly Marie Mullen attended and graduated from University Of New England, College Of Osteo Medicine in 2018

NPI Data:

NPI Number: 1053890301
Provider Enumeration Date: 08/08/2018
Last Update Date: 11/04/2024

Medicare PECOS Information:

PECOS PAC ID: 1951651413
Enrollment ID: I20210203001931

Medical Identifiers

Medical identifiers for Kelly Marie Mullen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053890301	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	012642 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Symmetry Physical Therapy, Llc	0749427771	3

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Marie Mullen allows following entities to bill medicare on her behalf.

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

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Marie Mullen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

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

Reviews and Comments

Physical Therapist in Portland, CT

Mr. Brian Isamu Aida, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9 Grove St, Portland, CT 06480 Phone: 973-224-2401
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: Medicare Enrolled 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 Llc 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

Kelly Marie Mullen, PT, DPT - Medicare Physical Therapist in Portland, CT