Active NPI
Molly Baughman, D.P.T.
- Physical Therapist
- Bothell, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2305208716
- Practice address
- 3330 Monte Villa Pkwy
Bothell, WA 98021-8972 - Phone
- (425) 408-7733
- NPI assigned
- Jun 16, 2014
- Last updated
- Apr 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT60586426 | WA | |
| Physical Therapist | 225100000X | 2305208716 | VA | Primary |
Addresses
Primary practice location
3330 Monte Villa Pkwy
Bothell, WA 98021-8972
Mailing address
17827 80TH Ave NE Apt C201
Kenmore, WA 98028-1896
Phone (202) 558-8225
Other practice location 1
3633 Vista Way
Suite #101
Oceanside, CA 92056-4568
Phone (760) 729-7298
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2305208716 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| King County Public Hospital District No. 2 | Physical Therapist | Current | Accepting new patients |
| King County Public Hospital District No 2 | Current | Accepting new patients |
Locations
13555 SE 36th St
Ste 100
Bellevue, WA 98006
12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000
12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369
Organizations & group practices 3
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.
-
dba Booth Gardner Parkinsons Care Center
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
-
- Physical Therapist
- Bellevue, WA
- NPI 1346808052
-
dba EvergreenHealth at Home Physical Therapy
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648771200000",
"number": "1093129215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17827 80TH AVE NE APT C201",
"city": "KENMORE",
"state": "WA",
"postal_code": "980281896",
"telephone_number": "202-558-8225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 MONTE VILLA PKWY",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980218972",
"telephone_number": "425-408-7733"
}
],
"practiceLocations": [
{
"address_1": "3633 Vista Way",
"address_2": "Suite #101",
"address_purpose": "LOCATION",
"city": "Oceanside",
"state": "CA",
"postal_code": "920564568",
"country_code": "US",
"telephone_number": "760-729-7298",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAUGHMAN",
"first_name": "MOLLY",
"credential": "D.P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-16",
"last_updated": "2022-04-01",
"certification_date": "2022-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT60586426",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305208716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.