Active NPI
Molly Elizabeth Walsh, OTR/L
- Occupational Therapist
- Kenmore, NY
National Provider Identifier
1114449600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 021640
- Practice address
- 3767 Delaware Ave
Kenmore, NY 14217-1040 - Phone
- (716) 874-6175
- NPI assigned
- Jul 17, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 021640 | NY | Primary |
Addresses
Primary practice location
3767 Delaware Ave
Kenmore, NY 14217-1040
Mailing address
11 Plumb Creek TRL
Lancaster, NY 14086-2337
Phone (716) 479-5240
Other practice location 1
1818 Como Park Blvd
Lancaster, NY 14086-2824
Phone (716) 683-6165
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021640 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Physical & Occupational Therapists, PLLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Therapist
- Kenmore, NY
- NPI 1538378039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1114449600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 PLUMB CREEK TRL",
"city": "LANCASTER",
"state": "NY",
"postal_code": "140862337",
"telephone_number": "716-479-5240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3767 DELAWARE AVE",
"city": "KENMORE",
"state": "NY",
"postal_code": "142171040",
"telephone_number": "716-874-6175"
}
],
"practiceLocations": [
{
"address_1": "1818 Como Park Blvd",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "NY",
"postal_code": "140862824",
"country_code": "US",
"telephone_number": "716-683-6165",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALSH",
"first_name": "MOLLY",
"middle_name": "ELIZABETH",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-17",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "021640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenmore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.