Provider Demographics
NPI:1134193949
Name:MULVEY, CHRISTOPHER HUGH (DPT)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:HUGH
Last Name:MULVEY
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 60562
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33906-6562
Mailing Address - Country:US
Mailing Address - Phone:239-480-4801
Mailing Address - Fax:
Practice Address - Street 1:12230 RIVER VILLAGE WAY
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33905-6272
Practice Address - Country:US
Practice Address - Phone:239-480-4801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT16281225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY7696ZMedicare UPIN