ADAM MCMULLEN (DPT) – Orthopedic Physical Therapist, NPI 1043640477

ADAM MCMULLEN (DPT) is a healthcare provider. based in St augustine, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. PT28591 (FL). The NPI Number for ADAM MCMULLEN (DPT) is 1043640477

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
ADAM MCMULLEN (DPT)
NPI
1043640477
Phone
(904) 825-0540
Address
1 ORTHOPAEDIC PL
Enumeration Date
21 November 2013
Last Update Date
21 November 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3865971927
Graduation Year
2013 (13 years ago)
PAC ID
1052548302
Group Practice PAC ID
7517102973
Professional Enrollment ID
I20131212001559
Address ID
FL321378289PA250XXNEXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for ADAM MCMULLEN (DPT)

  • 1 ORTHOPAEDIC PL

    ST AUGUSTINE, FL 320864202

    Phone: (904) 825-0540

    Fax: (904) 217-8057

    Mailing address matches the actual address.

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: 2013-12-12

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
I20131212001559IPhysical Therapist In Private PracticeFLTBD

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
97530Therapy procedure using functional activities90778$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes73670$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes63679$0
97140Therapy procedure using manual technique, each 15 minutes38876$0
97150Therapy procedure in a group setting12755$0
View full utilization report →

Insurance plans in this area (ZIP 32086)

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Provider's Procedures

ADAM MCMULLEN (DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYFL97001Physical therapy evaluation123111
PHYSICAL THERAPYFL97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes16548

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: 7517102973View full group profile
NameSpecialtyState
-AL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeFL
Physical Therapist In Private PracticeGA
-GA
-CA
-TN
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

What federal number belongs to ADAM MCMULLEN (DPT)?
The federal identifier for ADAM MCMULLEN (DPT) is NPI 1043640477.
Is ADAM MCMULLEN (DPT) active in the national directory?
ADAM MCMULLEN (DPT)'s public NPI profile is in an active state.
Does ADAM MCMULLEN (DPT) list a primary specialty?
If you are matching referrals, note Orthopedic Physical Therapist for ADAM MCMULLEN (DPT). Clinical services aligned with this taxonomy classification.
Where is ADAM MCMULLEN (DPT)'s primary listing?
We display St Augustine, Florida because that is what the record indicates for ADAM MCMULLEN (DPT).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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