{"npi":"1306179122","type":"NPI-2","status":"active","name":{"display":"Mullikin Physical Therapy","other":[],"organization_name":"MULLIKIN PHYSICAL THERAPY","authorised_official":"Annette Mullikin"},"specialty":{"primary_taxonomy":"261QP2000X","primary_taxonomy_description":"Physical Therapy Clinic/Center","slug":"physical-therapy-clinic-center","schema_org_specialty":null,"all":[{"code":"261QP2000X","description":"Physical Therapy Clinic/Center","primary":true,"state":"CO","license":"1930"}]},"addresses":[{"purpose":"LOCATION","street_1":"121 RAILROAD AVE","city":"MANCOS","state":"CO","postal_code":"813289059","country_code":"US","phone":"9705337649","fax":"9705339089"},{"purpose":"MAILING","street_1":"121 RAILROAD AVE","city":"MANCOS","state":"CO","postal_code":"813289059","country_code":"US","phone":"9705337649","fax":"9705339089"}],"license":{"state":"CO","number":"1930"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"55571034","state":"CO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20120713000032","type_code":"12-65","type_desc":"PART B SUPPLIER - PHYSICAL/OCCUPATIONAL THERAPY GROUP IN PRIVATE PRACTICE","state":"CO","pac_id":"1759546997"}]},"enumeration_date":"2009-09-11","last_updated":"2009-09-11","_meta":{"source":"NPPES","snapshot_date":"2009-09-11","doc_url":"https://findmynpi.com/api"}}