Mullen Physical Therapy - Medicare Physical Therapist in San Jose, CA

Mullen Physical Therapy is a medicare enrolled "Physical Therapist" provider in San Jose, California. Their current practice location is 4880 Stevens Creek Blvd Ste 108, Suite 108, San Jose, California. You can reach out to their office (for appointments etc.) via phone at (408) 905-6483.

Mullen Physical Therapy is licensed to practice in California (license number PT 40043) and it also participates in the medicare program. Mullen Physical Therapy is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1245572486.

Contact Information

Mullen Physical Therapy
4880 Stevens Creek Blvd Ste 108, Suite 108,
San Jose, CA 95129-1034
(408) 905-6483
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMullen Physical Therapy
TypeFacility
SpecialityPhysical Therapist
Location4880 Stevens Creek Blvd Ste 108, San Jose, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245572486
  • Provider Enumeration Date: 03/26/2013
  • Last Update Date: 02/24/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2668774019
  • Enrollment ID: O20151231001598

Medical Identifiers

Medical identifiers for Mullen Physical Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245572486NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist PT 40043 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mullen Physical Therapy acts as a billing entity for following providers:
Provider NameGary Mullen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568704799
PECOS PAC ID: 6901108356
Enrollment ID: I20151231001743
Provider NameErin Nicole Cameron
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760909907
PECOS PAC ID: 9335405489
Enrollment ID: I20171107000719
Provider NameSamuel E Lariviere
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598248361
PECOS PAC ID: 0840539011
Enrollment ID: I20190305003259
Provider NameCasey Avila
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659849339
PECOS PAC ID: 0143665141
Enrollment ID: I20240229002565
Provider NameAlina Doan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841014420
PECOS PAC ID: 6406384833
Enrollment ID: I20250113001355

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. Mullen Physical Therapy 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 AddressPractice Location Address
Mullen Physical Therapy
4880 Stevens Creek Blvd Ste 108, Suite 108,
San Jose, CA 95129-1034

Ph: (408) 905-6483
Mullen Physical Therapy
4880 Stevens Creek Blvd Ste 108, Suite 108,
San Jose, CA 95129-1034

Ph: (408) 905-6483

Reviews and Comments


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Phone: 408-972-6400    
Mrs. Linda L Katzman, PT
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Katherine Susan Casto, PT
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Medicare: Not Enrolled in Medicare
Practice Location: 4205 San Felipe Rd, Ste 100, San Jose, CA 95135
Phone: 408-238-1552    Fax: 408-238-1552

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.