Molly A O'Brien, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

5448 Issued in NM

Practice address

1505 Llano St Ste a
Santa Fe, NM 87505-2004

Phone

(505) 984-3034

Fax

(505) 984-3043

NPI assigned

May 8, 2009

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

Other names 1

• Ms. Molly A Medlin Other name

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": "1241740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241740800000",
    "number": "1174757884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N PASEO DE ONATE",
            "city": "ESPANOLA",
            "state": "NM",
            "postal_code": "875322619",
            "telephone_number": "505-753-3369",
            "fax_number": "505-753-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 LLANO ST STE A",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875052004",
            "telephone_number": "505-984-3034",
            "fax_number": "505-984-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "MOLLY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-08",
        "last_updated": "2009-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "5448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "MEDLIN",
            "middle_name": "A",
            "prefix": "MS.",
            "credential": "LMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nurses With Heart Home Care LLC
• Patrick Nuzzo, DN
• Leo Iwe Nwaokwu, FNP
• Brendan O'Brien
• Jennifer R O'Brien, D.C
• Deirdre O'Connor
• Karen C O'Day, CNM, CFNP, MBA
• Loretta Michele O'Donnell
• Michael K. O'Hearn, LCSW
• Georgette M O'Leary, BMS

• Massage Therapist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Massage Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.