Individual provider Active NPI

Nancy E. M. Henry, PT, DPT

  • Physical Therapist
  • Yukon, OK
National Provider Identifier
1205234473
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5438 Issued in OK
Practice address
10944 NW Expressway Ste a
Yukon, OK 73099-8214
Phone
(405) 924-9841
NPI assigned
Dec 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1101862 KS
Physical Therapist 225100000X 5438 OK Primary

Addresses

Primary practice location

10944 NW Expressway Ste a
Yukon, OK 73099-8214

Mailing address

5412 NW 122ND Ter
Oklahoma City, OK 73162-1829
Phone (913) 235-8885

Other practice location 1

1211 N Shartel Ave Ste 801
Oklahoma City, OK 73103-2425
Phone (405) 702-6674

Other identifiers 1

IdentifierTypeStateIssuer
20806560AMedicaidOK

Other names 1

  • Nancy Ellen Molitor Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1101862KSMDPhysical Therapist
5438OKMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1418947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1205234473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5412 NW 122ND TER",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731621829",
            "telephone_number": "913-235-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10944 NW EXPRESSWAY STE A",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730998214",
            "telephone_number": "405-924-9841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 N Shartel Ave Ste 801",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731032425",
            "country_code": "US",
            "telephone_number": "405-702-6674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "NANCY",
        "middle_name": "E. M.",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-19",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "1101862",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "5438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20806560A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "MOLITOR",
            "middle_name": "ELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yukon, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.