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

Michael Patrick Mulryan, PT

Individual provider Physical Therapist · NPI 1548076300

Michael Patrick Mulryan, PT is a Physical Therapist in Private Practice in Fair Lawn, New Jersey. Qualified in 2024, 2 years ago. Licensed in New Jersey.

Years since qualifying
2
Licensed in
NJ
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2-22 Banta Pl
Fair Lawn, NJ 07410-3058
Phone: (877) 532-7837
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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 40QA02413300 (NJ)

Record details

NPI number1548076300
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 6, 2024
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026
Mailing address1455 Broad St Ste 250, Bloomfield, NJ 07003-3066

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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