MULLEN PHYSICAL THERAPY
NPI 1245572486
Physical Therapist in San Jose, CA

Active since March 26, 2013
4880 STEVENS CREEK BLVD STE 108, SUITE 108, SAN JOSE, CA 95129(408) 905-6483 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 5, 2025, Dec 23, 2015 (2 updates tracked since 2015).

About Mullen Physical Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MULLEN PHYSICAL THERAPY (NPI 1245572486) is a healthcare organization registered as a physical therapist in San Jose, California and active in the NPI registry since March 2013. The organization lists Rijuta A Dhere, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245572486
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameMULLEN PHYSICAL THERAPY
Location Address4880 STEVENS CREEK BLVD STE 108, SUITE 108San Jose, CA 95129-1034
Mailing Address4880 Stevens Creek Blvd Ste 108, Suite 108San Jose, CA 95129-1034 · (408) 905-6483
Organization SubpartNo
Authorized OfficialRijuta A DhereCeo · (925) 895-6533
Enumeration DateMarch 26, 2013
Last NPPES UpdateFebruary 24, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2026
✔ NPI 1245572486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in CA · PT 40043
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
4880 STEVENS CREEK BLVD STE 108, San Jose, CA 95129

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mullen Physical Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Mullen Physical Therapy, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Physical Therapist in Private Practice
NPI 1376857128
4880 STEVENS CREEK BLVD STE 108
San Jose, CA 95129
(925) 895-6533
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1134000508
4880 STEVENS CREEK BLVD STE 108
San Jose, CA 95129
(408) 317-7538
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1659849339
3530 LOCHINVAR AVE
Santa Clara, CA 95051
(408) 484-1028
✔ Accepts Medicare1.2 mi
Physical Therapist in Private Practice
NPI 1871350876
3530 LOCHINVAR AVE
Santa Clara, CA 95051
(408) 317-7538
✔ Accepts Medicare1.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mullen Physical Therapy's NPI number?

The NPI number for Mullen Physical Therapy is 1245572486. It was assigned to this organization in the NPPES registry on March 26, 2013.

Where is Mullen Physical Therapy located?

Mullen Physical Therapy is located at 4880 Stevens Creek Blvd Ste 108 Suite 108, San Jose, CA 95129. The listed phone number is (408) 905-6483.

What is Mullen Physical Therapy's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Mullen Physical Therapy enrolled in Medicare?

Yes. Mullen Physical Therapy is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mullen Physical Therapy?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Mullen Physical Therapy. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mullen Physical Therapy was last updated on February 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.