Kelly Marie Mullen, PT, DPT
NPI 1053890301ActiveIndividual· Physical Therapist· Portland, CT
Physical Therapist (PT, DPT) in Portland, Connecticut, trained at University of New England, College of Osteo Medicine (class of 2018). Medicare paid $70,069 for services to 48 patients in 2024.
Overview
| NPI | 1053890301 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT |
| Sole proprietor | No |
| NPI issued | Aug 8, 2018 |
| Last updated in NPPES | Nov 4, 2024 |
| Certified by provider | Nov 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 012642 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 48 |
|---|---|
| Services billed | 3,246 across 9 procedure codes |
| Paid by Medicare | $70,069 |
Education and affiliations
| Medical school | University of New England, College of Osteo Medicine |
|---|---|
| Graduation year | 2018 |
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Symmetry Physical Therapy, LLCPortland, CT · 3 clinicians
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