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

Dr. Raymond Mullen, DPT

Individual provider Physical Therapist · NPI 1982148953

Dr. Raymond Mullen, DPT is a Physical Therapist in Private Practice in Los Angeles, California. Qualified in 2016, 10 years ago. Practices with Tag Physical Therapy Inc, a 16-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2016
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1537 S La Cienega Blvd
Los Angeles, CA 90035-3714
Phone: (310) 657-7220
Fax: (310) 657-7221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT292456 (CA)

Record details

NPI number1982148953
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedDecember 11, 2016
Last updated in NPPESDecember 11, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Tag Physical Therapy Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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