ANDREA NICOLE MULLIGAN (DPT) – Physical Therapist, NPI 1801130653

ANDREA NICOLE MULLIGAN (DPT) is a healthcare provider. based in Las vegas, Nevada. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 2763 (NV). The NPI Number for ANDREA NICOLE MULLIGAN (DPT) is 1801130653

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA NICOLE MULLIGAN (DPT)
NPI
1801130653
Phone
(702) 932-4308
Address
3602 E SUNSET RD STE 100
Enumeration Date
17 November 2012
Last Update Date
15 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7024079431
Graduation Year
2012 (14 years ago)
PAC ID
5395999445
Group Practice PAC ID
0345202834
Professional Enrollment ID
I20130125000394
Address ID
NV890524268HE10561STXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

880 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NV

Provider Addresses for ANDREA NICOLE MULLIGAN (DPT)

  • 3602 E SUNSET RD STE 100

    LAS VEGAS, NV 891207202

    Phone: (702) 932-4308

    Fax: (702) 837-8930

    Type: Mailing

  • 10561 JEFFREYS ST STE 200

    HENDERSON, NV 890524268

    Phone: (702) 407-9431

    Fax: (702) 407-9461

    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: 2013-01-25

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
I20130125000394IPhysical Therapist In Private PracticeNVTBD

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
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,930141$0
97140Therapy procedure using manual technique, each 15 minutes1,137133$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care852114$0
97535Training for self-care or home management, each 15 minutes557100$0
97530Therapy procedure using functional activities17336$0
View full utilization report →

Insurance plans in this area (ZIP 89120)

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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: 0345202834View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeNV
-NV
Physical Therapist In Private PracticeNV

Reviews

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Frequently asked questions

What is ANDREA NICOLE MULLIGAN (DPT)'s NPI number?
ANDREA NICOLE MULLIGAN (DPT)'s NPI is 1801130653 — the number used across U.S. healthcare to identify this provider.
Would ANDREA NICOLE MULLIGAN (DPT) appear as active to a payer?
You can treat ANDREA NICOLE MULLIGAN (DPT) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is ANDREA NICOLE MULLIGAN (DPT)?
ANDREA NICOLE MULLIGAN (DPT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for ANDREA NICOLE MULLIGAN (DPT)?
Travel planning: use Las Vegas, Nevada as the reference point for ANDREA NICOLE MULLIGAN (DPT), then confirm.
When was this NPI issued?
Enumeration for ANDREA NICOLE MULLIGAN (DPT) is noted as November 17, 2012 where the registry provides it.

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