DR. KURTIS P MULLANEY (DPT, ATC/L) – Physical Therapist, NPI 1669857959
Physical Therapist
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NPPES metrics only — not quality of care.
4,633 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL
Provider Addresses for DR. KURTIS P MULLANEY (DPT, ATC/L)
PO BOX 860912
MINNEAPOLIS, MN 554860912
Phone:
Type: Mailing
1577 Roberts Dr Ste 320
Jacksonville Beach, FL 322503266
Phone: (904) 247-3324
Fax: (904) 247-3926
Type: Location
PO BOX 117345
ATLANTA, GA 303687345
Phone: (904) 346-3465
Fax: (904) 858-6489
Type: Mailing
1577 ROBERTS DR STE 320
JACKSONVILLE BEACH, FL 322503266
Phone: (904) 247-3324
Fax: (904) 247-3926
Type: Location
1325 SAN MARCO BLVD
SUITE 200
JACKSONVILLE, FL 322078568
Phone: (904) 346-3465
Fax: (904) 858-6489
Type: Mailing
12961 N MAIN ST
SUITE 201 & 202
JACKSONVILLE, FL 322182769
Phone: (904) 757-2474
Fax: (904) 757-5541
Type: Location
4500 SAN PABLO RD S
JACKSONVILLE, FL 322241865
Phone: (904) 953-2000
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.
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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: 2015-09-23
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 |
|---|---|---|---|---|
| I20150923002531 | I | Physical Therapist In Private Practice | FL | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 3,030 | 253 | $0 |
| 97530 | Therapy procedure using functional activities | 508 | 123 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 124 | 35 | $0 |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 67 | 66 | $0 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 31 | 12 | $0 |
Insurance plans in this area (ZIP 55486)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL THERAPY | FL | 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 680 | 91 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Physical Therapist In Private Practice | FL | |
| Physician Assistant | GA | |
| Physical Therapist In Private Practice | FL | |
| Orthopedic Surgery | FL | |
| Physical Therapist In Private Practice | FL | |
| Physician Assistant | FL | |
| - | FL | |
| - | FL | |
| - | FL |
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