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

Individual provider Physical Therapist · NPI 1053890301

Kelly Marie Mullen, PT, DPT is a Physical Therapist in Private Practice in Portland, Connecticut. Graduated from University of New England, College of Osteo Medicine in 2018, 8 years ago. Practices with Symmetry Physical Therapy, LLC, a 3-clinician group. Licensed in Connecticut.

Years since qualifying
8
Trained at
University of New England, College of Osteo Medicine
Licensed in
CT
In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

269 Main St
Portland, CT 06480-1857
Phone: (860) 788-7976
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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 012642 (CT)

Record details

NPI number1053890301
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 8, 2018
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduated 2018 (8 years in practice)
Group practice Symmetry Physical Therapy, Llc — 3 clinicians
Accepts Medicare assignment Not indicated

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