DR. JONATHAN MULLIS (PT, DPT) – Physical Therapist, NPI 1508078130

DR. JONATHAN MULLIS (PT, DPT) is a healthcare provider. based in Bradenton, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 15359 (MA). The NPI Number for DR. JONATHAN MULLIS (PT, DPT) is 1508078130

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. JONATHAN MULLIS (PT, DPT)
NPI
1508078130
Phone
(617) 519-6443
Address
13803 SWIFTWATER WAY
Enumeration Date
4 May 2007
Last Update Date
17 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9412641414
Graduation Year
2000 (26 years ago)
PAC ID
0244383941
Group Practice PAC ID
1850656760
Professional Enrollment ID
I20180605003079
Address ID
FL342058624BR701XXWXXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

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Provider Addresses for DR. JONATHAN MULLIS (PT, DPT)

  • 13803 SWIFTWATER WAY

    BRADENTON, FL 342114084

    Phone: (617) 519-6443

    Type: Mailing

  • Request Physical Therapy, inc, 701, Manatee Avenue West, Bradenton, Manatee County, Florida, 34205, United States

    BRADENTON, FL 342058604

    Phone: (617) 519-6443

    Type: Location

  • 811 Massachusetts Ave

    Boston, MA 021182605

    Phone: (888) 697-8123

    Fax: (888) 329-8678

    Type: Location

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: 2018-06-05

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
I20180605003079IPhysical 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
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1,56252$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes63749$0
97530Therapy procedure using functional activities9816$0
97140Therapy procedure using manual technique, each 15 minutes5111$0
97161Evaluation for physical therapy, typically 20 minutes3935$0
View full utilization report →

Insurance plans in this area (ZIP 34211)

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Provider's Procedures

DR. JONATHAN MULLIS (PT, 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 THERAPYMA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes92628

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: 1850656760View full group profile
NameSpecialtyState
-FL
Physical Therapist In Private PracticeFL

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Frequently asked questions

What federal number belongs to DR. JONATHAN MULLIS (PT, DPT)?
The federal identifier for DR. JONATHAN MULLIS (PT, DPT) is NPI 1508078130.
Does this profile mean DR. JONATHAN MULLIS (PT, DPT) is currently active?
Yes — DR. JONATHAN MULLIS (PT, DPT) appears active in the national provider directory.
What does DR. JONATHAN MULLIS (PT, DPT) treat or focus on?
Patients typically see DR. JONATHAN MULLIS (PT, DPT) under the specialty Physical Therapist. Clinical services aligned with this taxonomy classification.
Where does public data place DR. JONATHAN MULLIS (PT, DPT)?
The snapshot lists Bradenton, Florida for DR. JONATHAN MULLIS (PT, DPT); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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