Active NPI
Renee Lynn Molskness, P.T.A
- Physical Therapy Assistant
- Oklahoma City, OK
National Provider Identifier
1104262856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1426
- Practice address
- 5725 S Ross Ave
Oklahoma City, OK 73170 - Phone
- (405) 685-4791
- NPI assigned
- May 21, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 1426 | OK | Primary |
Addresses
Primary practice location
5725 S Ross Ave
Oklahoma City, OK 73170
Mailing address
1617 Mead Lane
Oklahoma City, OK 73170
Phone (405) 201-1412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1104262856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1617 MEAD LANE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73170",
"telephone_number": "405-201-1412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5725 S ROSS AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73170",
"telephone_number": "405-685-4791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLSKNESS",
"first_name": "RENEE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "P.T.A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-21",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OK",
"license": "1426",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.