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

Ivan Mulligan, PT, SCS, ATC

Individual provider Orthopedic Physical Therapist · NPI 1851485072

Ivan Mulligan, PT, SCS, ATC is a Physical Therapist in Private Practice in Johnstown, Pennsylvania. Qualified in 1995, 31 years ago. Practices with West Virginia University Medical Corporation, a 1,981-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
31
Licensed in
PA
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

515 State St
Johnstown, PA 15905-2646
Phone: (814) 254-0086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence PA008858-L (PA)

Record details

NPI number1851485072
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , SCS , ATC
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESAugust 16, 2007

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice West Virginia University Medical Corporation — 1981 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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