BRIELLE KAYLA MULLIGAN (OTR) – Occupational Therapist, NPI 1003539131

BRIELLE KAYLA MULLIGAN (OTR) is a healthcare provider. based in Roosevelt, New Jersey. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR. They hold a License No. 46TR01082800 (NJ). The NPI Number for BRIELLE KAYLA MULLIGAN (OTR) is 1003539131

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
BRIELLE KAYLA MULLIGAN (OTR)
NPI
1003539131
Phone
(609) 578-7403
Address
PO BOX 508
Enumeration Date
23 September 2022
Last Update Date
23 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8554288246
Graduation Year
2022 (4 years ago)
PAC ID
9638555154
Group Practice PAC ID
6305272659
Professional Enrollment ID
I20221006000013
Address ID
NJ077024203SH766XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

1,269 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in NJ

Provider Addresses for BRIELLE KAYLA MULLIGAN (OTR)

  • PO BOX 508

    ROOSEVELT, NJ 085550508

    Phone: (609) 578-7403

    Type: Mailing

  • 1405 ROUTE 18 STE 203

    OLD BRIDGE, NJ 088573777

    Phone: (732) 967-0900

    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: 2022-10-06

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
I20221006000013IOccupational Therapist In Private PracticeNJTBD

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 activities1,27027$0
97130Therapy procedure for a range of mental processes, each additional 15 minutes70320$0
97129Therapy procedure for a range of mental processes, initial 15 minutes62126$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes40419$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes36122$0
View full utilization report →

Insurance plans in this area (ZIP 08555)

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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: 6305272659View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeNJ
Occupational Therapist In Private PracticeNJ
Physical Therapist In Private PracticeNY
Qualified Speech Language PathologistMD
Qualified Speech Language PathologistNJ
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeOR
Occupational Therapist In Private PracticeNJ
Qualified Speech Language PathologistNJ
Physical Therapist In Private PracticeNJ

Reviews

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Frequently asked questions

What identifier follows BRIELLE KAYLA MULLIGAN (OTR) across health systems?
The NPI 1003539131 uniquely identifies BRIELLE KAYLA MULLIGAN (OTR) in U.S. healthcare data.
Is BRIELLE KAYLA MULLIGAN (OTR)'s NPI status active today?
Active status means BRIELLE KAYLA MULLIGAN (OTR)'s NPI record is not deactivated in the public file.
What does the directory say BRIELLE KAYLA MULLIGAN (OTR) does?
Insurance directories may phrase it differently, but here BRIELLE KAYLA MULLIGAN (OTR) maps to Occupational Therapist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to BRIELLE KAYLA MULLIGAN (OTR)?
BRIELLE KAYLA MULLIGAN (OTR) is associated with Roosevelt, New Jersey in the same public data insurers reference.
Who maintains BRIELLE KAYLA MULLIGAN (OTR)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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