CASEY MICHAEL MULLIGAN (DPT) – Physical Therapist, NPI 1174094585

CASEY MICHAEL MULLIGAN (DPT) is a healthcare provider. based in El cerrito, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT295859 (CA). The NPI Number for CASEY MICHAEL MULLIGAN (DPT) is 1174094585

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
CASEY MICHAEL MULLIGAN (DPT)
NPI
1174094585
Phone
(510) 524-2177
Address
425 KEARNEY ST
Enumeration Date
10 December 2018
Last Update Date
10 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5105242177
Graduation Year
2003 (23 years ago)
PAC ID
4284974429
Group Practice PAC ID
9537051743
Professional Enrollment ID
I20190325002579
Address ID
CA945303656EL425XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for CASEY MICHAEL MULLIGAN (DPT)

  • 425, Kearney Street, El Cerrito, Contra Costa County, California, 94530, United States

    EL CERRITO, CA 945303656

    Phone: (510) 524-2177

    Type: Location

  • 5123, Parkridge Drive, Oakland, Alameda County, California, 94516, United States

    OAKLAND, CA 946193515

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-03-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190325002579IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97113Therapy procedure using water pool to exercises, each 15 minutes4,961173$0
97140Therapy procedure using manual technique, each 15 minutes3,151389$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,998396$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes417107$0
97164Re-evaluation for physical therapy, typically 20 minutes235141$0
View full utilization report →

Insurance plans in this area (ZIP 94530)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537051743View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
-CA
Physical Therapist In Private PracticeDC
Physical Therapist In Private PracticeCA
-CA

Reviews

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Frequently asked questions

Does CASEY MICHAEL MULLIGAN (DPT) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CASEY MICHAEL MULLIGAN (DPT) uses 1174094585.
Does CMS list CASEY MICHAEL MULLIGAN (DPT) as active?
Yes — CASEY MICHAEL MULLIGAN (DPT) is active in the NPI listing used on this page.
What healthcare role does CASEY MICHAEL MULLIGAN (DPT) hold?
Scheduling teams often label CASEY MICHAEL MULLIGAN (DPT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
Does CASEY MICHAEL MULLIGAN (DPT) list a practice location?
Patients near El Cerrito, California may find CASEY MICHAEL MULLIGAN (DPT) in results; validate coverage separately.
Why does CASEY MICHAEL MULLIGAN (DPT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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