Active NPI
Molly Fash
- Occupational Therapist
- Pleasant Garden, NC
National Provider Identifier
1144748419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 11121
- Practice address
- 5229 Appomattox Rd
Pleasant Garden, NC 27313-8202 - Phone
- (336) 674-2252
- NPI assigned
- Sep 6, 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 | 11121 | NC | Primary |
Addresses
Primary practice location
5229 Appomattox Rd
Pleasant Garden, NC 27313-8202
Mailing address
3303 Horse Pen Creek Rd Unit 3E
Greensboro, NC 27410-9807
Phone (908) 307-6249
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 |
|---|---|---|---|
| 11121 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504656000000",
"number": "1144748419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3303 HORSE PEN CREEK RD UNIT 3E",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274109807",
"telephone_number": "908-307-6249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5229 APPOMATTOX RD",
"city": "PLEASANT GARDEN",
"state": "NC",
"postal_code": "273138202",
"telephone_number": "336-674-2252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASH",
"first_name": "MOLLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-06",
"last_updated": "2017-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "11121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasant Garden, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.