Molly Ellen Manuel, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3665 Issued in OK

Practice address

1742 S 4TH St
Chickasha, OK 73018-5901

Phone

(405) 825-3617

Fax

(405) 825-3618

NPI assigned

Jun 15, 2006

Last updated

Oct 6, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Molly Ellen Smith Former name

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Rock Health and Wellness LLCGroup PAC ID 7618221375, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Blue Rock Health and Wellness LLC

  • Physical Therapy Clinic/Center
  • Marlow, OK
  • NPI 1578046827

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Excel Therapy Specialists--Okc LLC

  • Physical Therapist
  • Chickasha, OK
  • NPI 1649643180
  Medicare reassignment NPD

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1205870128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 W HOUSTON ST STE B",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740123519",
            "telephone_number": "918-259-1888",
            "fax_number": "918-251-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1742 S 4TH ST",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730185901",
            "telephone_number": "405-825-3617",
            "fax_number": "405-825-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "MOLLY",
        "middle_name": "ELLEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "3665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200533540A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "SMITH",
            "middle_name": "ELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bibi Ann Mabry, MS
• Brandon Malone
• Karen S Maluf, MD
• Mike L Mangus
• Claire Janie Mantooth
• Katrina Marchbanks
• Mark E. Mettry DDS, Inc.
• Amanda Markham
• Micki Rochelle Marsh
• Alicia Jasmine Martinez

• Physical Therapist in Chickasha, OK
• Providers in Chickasha, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.