Molly Jo Anderson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

01929 Issued in IA

Practice address

826 N 8TH St
Estherville, IA 51334-1528

Phone

(712) 362-6118

Fax

(712) 362-6331

NPI assigned

Jul 26, 2010

Last updated

Jun 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Great Lakes Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Spirit Lake, IA
  • NPI 1255646709
  NPD
• Great Lakes Physical Therapy

  • Speech-Language Pathologist
  • Spirit Lake, IA
  • NPI 1033407507
  NPD (past)

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1093028557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 145TH ST",
            "city": "ESTHERVILLE",
            "state": "IA",
            "postal_code": "513347411",
            "telephone_number": "712-260-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 N 8TH ST",
            "city": "ESTHERVILLE",
            "state": "IA",
            "postal_code": "513341528",
            "telephone_number": "712-362-6118",
            "fax_number": "712-362-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MOLLY JO",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "01929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan M. Blake D.D.S.
• Avera at Home (Avera@Home)
• Avera at Home (Avera @ Home)
• Avera at Home (Avera@Home)
• Avera Holy Family (Avera Medical Group Estherville)
• Avera Holy Family (Avera Holy Family Hospital)

• Physical Therapist in Estherville, IA
• Providers in Estherville, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.