Molly Grace Williamson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

9993 Issued in OR

Practice address

525 NE 71St St
Newport, OR 97365-9300

Phone

(541) 574-0550

NPI assigned

Aug 7, 2021

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

• Molly Grace French Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1628294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628294400000",
    "number": "1184398612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 NE 71ST ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973659300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 NE 71ST ST",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "973659300",
            "telephone_number": "541-574-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "MOLLY",
        "middle_name": "GRACE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-07",
        "last_updated": "2021-08-07",
        "certification_date": "2021-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "9993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "FRENCH",
            "middle_name": "GRACE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Scott Willard, CADCII
• Amanda Crystal Williams, CMA
• Benjamin Williams, LPC
• Kathryn Williams, PA
• Robert Williams
• Douglas A Wilson, MD
• Erica Robin Wilson, PH. D, BCBA-D
• Patricia Kristen Wilson, QMHA
• James D. Windell, D.M.D.
• Audra Luz Kathleena Wisham, M.D.

• Physical Therapy Assistant in Newport, OR
• Providers in Newport, OR by specialty
• Physical Therapy Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2021; 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.