Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brad Evan Mulligan

Individual provider Occupational Therapist · NPI 1538795315

Brad Evan Mulligan is an Occupational Therapist in Private Practice in Commack, New York. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2020
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Practice location Address checks out

37 Timber Ridge Dr
Commack, NY 11725-1739
Phone: (631) 889-1116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 024452 (NY)

Record details

NPI number1538795315
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 12, 2020
Last updated in NPPESMarch 12, 2020
Certification dateMarch 12, 2020
Mailing address37 Timber Ridge Dr, Commack, NY 11725-1739

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Commack