Molly Walter, OTR/L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

056003469 Issued in IL

Practice address

545 S 5TH St
Fairbury, IL 61739-1614

Phone

(309) 531-8700

NPI assigned

Aug 5, 2014

Last updated

Aug 5, 2014By 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)

Not enrolled

State licenses

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407196800000",
    "number": "1134538028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 S 5TH ST",
            "city": "FAIRBURY",
            "state": "IL",
            "postal_code": "617391614",
            "telephone_number": "309-531-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 S 5TH ST",
            "city": "FAIRBURY",
            "state": "IL",
            "postal_code": "617391614",
            "telephone_number": "309-531-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTER",
        "first_name": "MOLLY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "IL",
            "license": "056003469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn J Stites, APN, NP-C
• Tracy Neal Taylor, DMD
• Tracy N Taylor DMD., PC
• Turning Point Therapies Inc
• Kylie Vogel
• Rebecca Renae Walz, PA-C
• Brenton Waystout, FNP-BC
• Rachel Marie Wenger, M.D.
• Colin Wettstein, DPT
• Robert E Worthen, APRN, FNP-BC

• Physical Rehabilitation Occupational Therapist in Fairbury, IL
• Providers in Fairbury, IL by specialty
• Physical Rehabilitation Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.