MICHAEL MULLIGAN (NPI# 1104139229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104139229 |
| Entity Type | Individual |
| Full Name | MICHAEL MULLIGAN |
| Credential | PTA |
| Practice Address |
4855 Sw Western Ave Beaverton OR 97005-3460 |
| Practice Telephone | 5035267449 |
| Practice Fax Number | 5032771365 |
| Enumeration Date | 2010-07-18 |
| Last Update Date | 2010-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 8670 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851791362 | Michael W Mulligan | Acupuncturist | 490 E 24th St, Brooklyn, NY 11210-1130 | 2014-09-03 |
| 1992234249 | Michael Edward Mulligan | Technician, Other | 10779 Cambay Cir, Boynton Beach, FL 33437-3219 | 2017-06-09 |
| 1235583063 | Michael Trew Mulligan | Marriage & Family Therapist | 5348 University Ave Ste 101, San Diego, CA 92105-8025 | 2016-04-18 |
| 1770913121 | Michael Mulligan | Counselor | 9370 Sw Greenburg Rd, Suite 601, Portland, OR 97223-5442 | 2013-11-22 |
| 1225286255 | Michael Mulligan | Orthopaedic Surgery | 1367 Washington Ave Ste 200, Albany, NY 12206-1048 | 2008-09-03 |
| 1003991811 | Michael S Mulligan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1959 Ne Pacific St, Seattle, WA 98195-5791 | 2006-10-27 |
| 1053411892 | Michael P Mulligan | Family Medicine | 11795 Education St Ste 110, Auburn, CA 95602 | 2006-09-22 |
| 1306884283 | Michael Joseph Mulligan | Allergy & Immunology | 701 E El Camino Real, Mountain View, CA 94040-2833 | 2006-06-03 |
| 1619927779 | Michael G Mulligan | Anesthesiology | 5151 Reed Rd, Suite 225-c, Columbus, OH 43220-2595 | 2006-05-11 |
| 1972599553 | Michael E Mulligan | Radiology | 22 S Greene St, Dept of Radiology, Baltimore, MD 21201-1544 | 2005-09-20 |
| Street Address |
4855 SW WESTERN AVE |
| City | BEAVERTON |
| State | OR |
| Zip Code | 97005-3460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407827694 | Jennifer Mae Soyke | Family Medicine | 4855 Sw Western Ave, University of Oregon, Beaverton, OR 97005-3460 | 2006-01-27 |
| 1043857105 | Reagan Ravanzo Blanco | Dental Assistant | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-12-06 |
| 1144866591 | Asela Agtay Wells | Dental Assistant | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-11-20 |
| 1851935969 | Rosilyn Ricard | Dental Assistant | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-10-31 |
| 1063074789 | Blake Mcconnell | Student in an Organized Health Care Education/Training Program | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-07-02 |
| 1154886877 | Sarah Elizabeth Anderson Mills | Dental Assistant | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2019-02-06 |
| 1023506219 | Amanda Ellen Koonce | Student in an Organized Health Care Education/Training Program | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2018-04-24 |
| 1285142802 | Tiffani O'neill | Counselor | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2018-01-17 |
| 1912438953 | Dia Hazra | Pediatrics | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2017-03-22 |
| 1346782794 | Nicole Pollock | Pharmacist | 4855 Sw Western Ave, Beaverton, OR 97005-3460 | 2016-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945053 | Krista Lowe Schimmelbusch | Student in an Organized Health Care Education/Training Program | 12730 Sw 3rd St., Beaverton, OR 97005 | 2020-06-05 |
| 1346882578 | Mireya Elissa Nunez I | Counselor | 12665 Sw Center Street, Suite 100, Beaverton, OR 97005 | 2019-10-09 |
| 1548816879 | Logan James Patzlaff | Behavior Technician | 6200 Sw Artic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-08-13 |
| 1528521424 | Alex Taylor Foerman | Behavior Technician | 6200 Sw Arctic Drive Beaverton, Or 97005, Beaverton, OR 97005 | 2019-04-09 |
| 1285193003 | Hazelnut Dental LLC | Clinic/Center | 10773 Sw Beaverton-hillsdale Hwy, Ste B, Beaverton, OR 97005 | 2019-03-19 |
| 1992286348 | Kathryn Wallner | Counselor | 14205 Sw Farmington Road, Suite 160, Beaverton, OR 97005 | 2018-08-23 |
| 1699265058 | Meaghan Mikulic | Social Worker | 14355 Sw Allen Blvd Suite 150, Beaverton, OR 97005 | 2018-05-11 |
| 1629568936 | Aimee J Nelson | Massage Therapist | 10700 Sw Beaverton Hillsdale Hwy Ste 465, Beaverton, OR 97005 | 2018-05-11 |
| 1093221780 | Ember Dahl | Massage Therapist | 12655 Sw Center St Ste 530, Beaverton, OR 97005 | 2017-12-18 |
| 1033667456 | Andre Vo | Pharmacist | 2575 Sw Walker Rd, Beaverton, OR 97005 | 2016-09-14 |
| Find all providers in zip 97005 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386094936 | Leslie Metzar | Physical Therapy Assistant | 10045 Sw 135th Ave, Beaverton, OR 97008-8028 | 2016-06-14 |
| 1427360833 | Malinda Ann Dye | Physical Therapy Assistant | 9802 Sw Dapplegrey Loop, Beaverton, OR 97008-6701 | 2010-07-14 |
| 1194209973 | Heidi Wolford Paget | Physical Therapy Assistant | 23839 Sw Daniel Rd, Beaverton, OR 97078-5400 | 2018-09-18 |
| 1194262576 | Desiree Francene Morris | Physical Therapy Assistant | 11850 Sw Allen Blvd, Beaverton, OR 97005-4805 | 2017-01-24 |
| 1336681527 | Amy M Czupryn | Physical Therapy Assistant | 14645 Sw Farmington Rd, Beaverton, OR 97007-2727 | 2016-11-05 |
| 1548625023 | Alisha Murray | Physical Therapy Assistant | 12545 Sw Caballero Ct, Beaverton, OR 97008-7705 | 2015-12-28 |
| 1467835017 | Mackie Marinello | Physical Therapy Assistant | 14645 Sw Farmington Rd, Beaverton, OR 97007-2727 | 2015-07-01 |
| 1548533193 | Mark Alan Anderson | Physical Therapy Assistant | 14645 Sw Farmington Rd., Beaverton, OR 97007 | 2012-02-13 |
| 1578654133 | Daphne Lynn Brown | Physical Therapy Assistant | 4855 Sw Western Ave, Beaverton, OR 97005-3499 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275156721 | Annalee Dewey Gonzalez | Physical Therapy Assistant | 3215 Ne 4th Ave, Hillsboro, OR 97124-1859 | 2020-05-19 |
| 1851936157 | Naomi Higgs | Physical Therapy Assistant | 515 Grant St, Cottage Grove, OR 97424 | 2019-11-10 |
| 1003473182 | Elisabeth Thatcher | Physical Therapy Assistant | 70 Sw Century Dr Ste 100, Bend, OR 97702-3558 | 2019-05-23 |
| 1649743725 | Azalea J Rees | Physical Therapy Assistant | 7320 Sw Hunziker Rd Ste 203, Tigard, OR 97223-2301 | 2019-01-10 |
| 1467925636 | Thomas R Walker | Physical Therapy Assistant | 1928 Sw 25th St, Gresham, OR 97080-9523 | 2019-01-09 |
| 1063996312 | Maximilian Torres | Physical Therapy Assistant | 4602 Sw 53rd Ave, Portland, OR 97221 | 2018-09-22 |
| 1598246290 | Phyllis Louise Young | Physical Therapy Assistant | 350 Ne Brennan Ln, Prineville, OR 97754 | 2018-08-22 |
| 1255847554 | John Nguyen | Physical Therapy Assistant | 1900 E. Fulton St., Newberg, OR 97132 | 2017-12-21 |
| 1881104974 | Leigha Teubel | Physical Therapy Assistant | 2492 Howell Prairie Rd Ne, Salem, OR 97305-9647 | 2017-10-03 |
| 1558884478 | Sandra Lonergan | Physical Therapy Assistant | 10121 Se Sunnyside Rd Ste 210, Clackamas, OR 97015-5708 | 2017-07-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.