Active NPI
Adam Molony
- Physical Therapist
- Union, KY
National Provider Identifier
1134537087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 006458
- Practice address
- 9255 US Highway 42
Union, KY 41091-7199 - Phone
- (859) 305-5173
- NPI assigned
- Jul 23, 2014
- Sex
- Male
- 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 | 014872 | OH | |
| Physical Therapist | 225100000X | 006458 | KY | Primary |
Addresses
Primary practice location
9255 US Highway 42
Union, KY 41091-7199
Mailing address
245 Forest Ave
Ludlow, KY 41016-1408
Phone (859) 814-1459
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230503000388 | KY | Practitioner - Physical Therapist in Private Practice | 5294190906 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006458 | KY | MD | Physical Therapist |
| 014872 | OH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
| Powerback Rehabilitation LLC | Physical Therapist | Current | Accepting new patients |
Locations
6901 Carslaw Ct
Prospect, KY 40059
Phone (502) 480-1794
9255 US Highway 42
Union, KY 41091
Phone (617) 468-6933
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.
-
- Physical Therapist
- Woodbridge, VA
- NPI 1790640761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682467200000",
"number": "1134537087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 FOREST AVE",
"city": "LUDLOW",
"state": "KY",
"postal_code": "410161408",
"telephone_number": "859-814-1459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9255 US HIGHWAY 42",
"city": "UNION",
"state": "KY",
"postal_code": "410917199",
"telephone_number": "859-305-5173"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLONY",
"first_name": "ADAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-23",
"last_updated": "2023-04-26",
"certification_date": "2023-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "014872",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "006458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.