TIMOTHY M MULLEN (NPI# 1578549176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578549176 |
| Entity Type | Individual |
| Full Name | TIMOTHY M MULLEN |
| Credential | OTR |
| Practice Address |
1111 Leffingwell Ave Ne Suite 200 Grand Rapids MI 49525-6406 |
| Practice Telephone | 6164597101 |
| Practice Fax Number | 6169546483 |
| Mailing Telephone | 6164597101 |
| Mailing Fax Number | 6169546483 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2013-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
5201002530 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194946681 | Timothy John Mullen | Mechanotherapist | 25 Kinderhook Street, Chatham, NY 12037 | 2007-05-01 |
| Street Address |
1111 LEFFINGWELL AVE NE SUITE 200 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-6406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437151834 | William G Brinkmeier | Physician Assistant | 1111 Leffingwell Ave Ne, Ste 100, Grand Rapids, MI 49525-6406 | 2005-08-15 |
| 1316571334 | Beth A Ronda | Occupational Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2020-02-28 |
| 1811535172 | Kaylyn Fales | Specialist/Technologist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2019-12-18 |
| 1275170540 | Marissa Marguerite Hansen | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2019-12-05 |
| 1285120568 | Danielle M Beaudoin | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2018-07-10 |
| 1235630203 | Michael D Newlin | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2018-02-26 |
| 1649787128 | Corey John Koll | Physician Assistant | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2018-01-05 |
| 1144735093 | Bradley M Griffin | Occupational Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2017-12-13 |
| 1811412315 | Logan M Neil | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2017-08-07 |
| 1053848929 | Hilary May Fredricks | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2017-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326387515 | Stephanie Tamminga | Occupational Therapist | 245 Cherry St Se Ste 302, Grand Rapids, MI 49503-4607 | 2013-02-07 |
| 1558885384 | Matthew Wayne Oakes | Occupational Therapist | 4100 Lake Dr Se Ste 305, Grand Rapids, MI 49546-8292 | 2017-08-02 |
| 1497204853 | Garrett A Cleaver | Occupational Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2016-09-27 |
| 1578732228 | Tricia Marie Wheelock | Occupational Therapist | 2000 Burton St Se, Grand Rapids, MI 49506-4670 | 2008-02-27 |
| 1912957358 | Shelly Hennink Davis | Occupational Therapist | 1111 Leffingwell Ave Ne, Suite 210, Grand Rapids, MI 49525-6406 | 2006-05-10 |
| 1124097639 | Elaine P Larson | Occupational Therapist | 1111 Leffingwell Ave Ne, Suite 200, Grand Rapids, MI 49525-6406 | 2006-03-16 |
| 1104802610 | Janet Appleton | Occupational Therapist | 1111 Leffingwell Ave Ne, Suite 200, Grand Rapids, MI 49525-6406 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972166692 | Aaron Wienczak | Occupational Therapist | 36622 Five Mile Rd Ste 215, Livonia, MI 48154-1900 | 2019-04-18 |
| 1407357155 | Mary Whitehouse Barber | Occupational Therapist | 2098 S Main St Rm 1135, Ann Arbor, MI 48103-5827 | 2018-02-27 |
| 1437650611 | Jeanne Marie Riggs | Occupational Therapist | Domino's Farms, Lobby A Plastic Surg Ste Rm 1108, 24 Frank Lloyd Wright Dr., Spc 5735, Ann Arbor, MI 48106-5735 | 2018-02-23 |
| 1598275067 | Meredith Aja | Occupational Therapist | 1282 Kirts Blvd Ste 102, Troy, MI 48084-4888 | 2017-10-10 |
| 1912459470 | Erin K Nowak | Occupational Therapist | 501 S Health Pkwy, Three Rivers, MI 49093-8350 | 2016-11-01 |
| 1720532443 | Comprehensive Hand & Rehabilitation, LLC | Occupational Therapist | 5160 Gotfredson Rd, Plymouth, MI 48170-5019 | 2016-08-10 |
| 1154799666 | Mary Lynne Kleis | Occupational Therapist | 3739 Baldwin St, Hudsonville, MI 49426-9733 | 2015-09-14 |
| 1386976801 | Kathryn Sue Klamert | Occupational Therapist | 12194 Neff Road, Clio, MI 48420 | 2010-02-09 |
| 1568628790 | Great Lakes Hand Therapy PC | Occupational Therapist | 3600 Capital Ave Sw Ste 103, Battle Creek, MI 49015 | 2008-08-07 |
| 1659559060 | Denise Kenny Claiborne | Occupational Therapist | 15250 Levan Rd, Livonia, MI 48154-5030 | 2008-02-07 |
| Find all providers with the same taxonomy | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on TIMOTHY M MULLEN.
| 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.