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

Douglas Albert Mullin, PTA

Individual provider Physical Therapy Assistant · NPI 1134811821

Douglas Albert Mullin, PTA is a Physical Therapy Assistant in St Augustine, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1101 Plantation Island Dr S
St Augustine, FL 32080-6191
Phone: (904) 540-6114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 8656 (FL)

Record details

NPI number1134811821
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorYes
NPI enumeratedMay 22, 2023
Last updated in NPPESMay 22, 2023
Certification dateMay 22, 2023
Mailing address1692 Leon St, St Augustine, FL 32080-5510

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