Individual provider Active NPI

Molly Warner

  • Physical Therapist
  • Nottingham, MD
National Provider Identifier
1205438744
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
8114 Sandpiper Cir
Nottingham, MD 21236-4934
Phone
(410) 933-8549
Fax
(410) 933-8712
NPI assigned
Nov 10, 2020
Last updated
Apr 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

8114 Sandpiper Cir
Nottingham, MD 21236-4934

Mailing address

8114 Sandpiper Cir
Nottingham, MD 21236-4934
Phone (410) 933-8459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201207003189 DE Practitioner - Physical Therapist in Private Practice 4880006329 Reassigns benefits to 1 organization
I20230327000964 MD Practitioner - Physical Therapist in Private Practice 4880006329 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28907MDMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebridge Sports Medicine & Rehabilitation, LLC CurrentSince Feb 1, 2023 Accepting new patients
Fox Rehabilitation Services Inc Physical Therapist CurrentSince Dec 2, 2020 Accepting new patients
Lifebridge Sports Medicine and Rehabilitation LLC CurrentSince Feb 1, 2023 Accepting new patients

Locations

701 Foulk Rd
Ste 2A
Wilmington, DE 19803

7 Carnegie Plz
Cherry Hill, NJ 08003

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1205438744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8114 SANDPIPER CIR",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364934",
            "telephone_number": "410-933-8459",
            "fax_number": "410-933-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8114 SANDPIPER CIR",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212364934",
            "telephone_number": "410-933-8549",
            "fax_number": "410-933-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNER",
        "first_name": "MOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nottingham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.