Individual provider Active NPI

Samuel Molloy, PT, DPT

  • Physical Therapist
  • Hudson, MA
National Provider Identifier
1063398519
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL88550 Issued in MA
Practice address
34 Highland CMN E
Hudson, MA 01749-2047
Phone
(978) 263-0007
Fax
(978) 263-0014
NPI assigned
Aug 12, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL88550 MA Primary

Addresses

Primary practice location

34 Highland CMN E
Hudson, MA 01749-2047

Mailing address

411 Mass Ave Ste 302
Acton, MA 01720-3739
Phone (978) 263-0007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250819002090 MA Practitioner - Physical Therapist in Private Practice 1052810785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Achieve Physical Therapy LLCGroup PAC ID 0042392052, 29 clinicians

Practice addresses (Care Compare)

34 Highland CMN E
Hudson, MA 01749-2047
Phone (978) 263-0007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL88550MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Physical Therapy LLC Physical Therapist CurrentSince Aug 11, 2025 Accepting new patients
Achieve Physical Therapy, PC Physical Therapist PastSince Aug 11, 2025 Accepting new patients

Locations

411 Massachusetts Ave
Ste 302
Acton, MA 01720
Phone (978) 263-0007

34 Highland Cmn E
Hudson, MA 01749
Phone (978) 263-0007

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1063398519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MASS AVE STE 302",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203739",
            "telephone_number": "978-263-0007",
            "fax_number": "978-263-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 HIGHLAND CMN E",
            "city": "HUDSON",
            "state": "MA",
            "postal_code": "017492047",
            "telephone_number": "978-263-0007",
            "fax_number": "978-263-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLOY",
        "first_name": "SAMUEL",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "PTL88550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.