Individual provider Active NPI

Mollie L Newman, ATC, PT, DPT

  • Physical Therapist
  • Lisbon, OH
National Provider Identifier
1316347156
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT018822 Issued in OH
Practice address
7735 State Route 45
Lisbon, OH 44432-8342
Phone
(330) 424-9033
Fax
(330) 424-9053
NPI assigned
Aug 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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 PT018822 OH Primary
Athletic Trainer 2255A2300X AT005510 OH

Addresses

Primary practice location

7735 State Route 45
Lisbon, OH 44432-8342

Mailing address

912 E Lincolnway
Minerva, OH 44657-1214
Phone (330) 868-4362

Other practice location 1

1450 S Canfield Niles Rd Unit E
Youngstown, OH 44515-4083
Phone (234) 287-6660

Other practice location 2

250 Debartolo Pl Ste 1100
Youngstown, OH 44512-7004
Phone (234) 287-6660

Other identifiers 1

IdentifierTypeStateIssuer
0447682MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240404000811 OH Practitioner - Physical Therapist in Private Practice 3173961562 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AT005510OHMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Physical Therapy Inc Physical Therapist CurrentSince Jan 26, 2022 Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients

Locations

912 E Lincolnway
Minerva, OH 44657
Phone (330) 868-4362

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1316347156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 E LINCOLNWAY",
            "city": "MINERVA",
            "state": "OH",
            "postal_code": "446571214",
            "telephone_number": "330-868-4362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7735 STATE ROUTE 45",
            "city": "LISBON",
            "state": "OH",
            "postal_code": "444328342",
            "telephone_number": "330-424-9033",
            "fax_number": "330-424-9053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 S Canfield Niles Rd Unit E",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445154083",
            "country_code": "US",
            "telephone_number": "234-287-6660",
            "fax_number": "234-287-6669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 Debartolo Pl Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445127004",
            "country_code": "US",
            "telephone_number": "234-287-6660",
            "fax_number": "234-287-6669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "MOLLIE",
        "middle_name": "L",
        "credential": "ATC, PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT018822",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT005510",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0447682",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisbon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.