MARK MCMULLAN (OTR) – Occupational Therapist, NPI 1588329973
Occupational Therapist
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,139 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in FL
Provider Addresses for MARK MCMULLAN (OTR)
301 S Myrtle Ave
New Smyrna Beach, FL 321686900
Phone: (386) 410-2523
Type: Location
901 Vista Trelago
Maitland, FL 32751
Phone: (407) 388-4477
Type: Location
325 Hanson St
Winnemucca, NV 894453607
Phone: (775) 625-2222
Fax: (775) 625-1131
Type: Location
325 HANSON ST
WINNEMUCCA, NV 894453607
Phone: (775) 625-2222
Type: Mailing
700 LILLY RD NE
OLYMPIA, WA 985065115
Phone: (360) 923-7000
Fax: (360) 923-7089
Type: Location
1379 PLAYERS CLUB CIR
GULF BREEZE, FL 325633521
Phone: (775) 367-6937
Type: Mailing
301 S MYRTLE AVE
NEW SMYRNA BEACH, FL 321686900
Phone: (386) 410-2523
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: 2023-07-03
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230703000261 | I | Occupational Therapist In Private Practice | WA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32168)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| Family Practice | WA | |
| - | WA | |
| - | OH | |
| O P H T H A L M O L O G Y | WA | |
| Family Practice | WI | |
| Internal Medicine | OR | |
| Clinical Social Worker | WA | |
| - | WA |
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