Individual provider Active NPI

Molly D. Patel, P.T.

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1316981376
Registry record updated Feb 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT007689 Issued in GA
Practice address
6065 Roswell Rd Uppr 150
Atlanta, GA 30328-4034
Phone
(678) 642-7168
NPI assigned
Jun 16, 2006
Last updated
Feb 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2024

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 PT7689 GA
Physical Therapist 225100000X PT007689 GA Primary

Addresses

Primary practice location

6065 Roswell Rd Uppr 150
Atlanta, GA 30328-4034

Mailing address

10410 Stanyan St
Alpharetta, GA 30022-4882
Phone (678) 642-7168

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061205000387 GA Practitioner - Physical Therapist in Private Practice 0345249165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6065 Roswell Rd NE
Suite 150
Atlanta, GA 30328-3914
Phone (404) 445-7942

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT7689GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medthru CurrentSince Mar 17, 2024 Accepting new patients
Reform Physical Therapy Multi-Specialty CurrentSince Jan 7, 2014 Accepting new patients
Village Podiatry Group, L.L.C. Multi-Specialty PastSince Jun 1, 2003 Accepting new patients
Village Podiatry Group LLC Multi-Specialty Past Accepting new patients

Locations

1705 Mount Vernon Rd
Ste B
Dunwoody, GA 30338
Phone (404) 445-7942

6065 Roswell Rd
Ste 150
Sandy Springs, GA 30328
Phone (404) 445-7942

6065 Roswell Rd
Uppr 150
Sandy Springs, GA 30328
Phone (404) 220-7770

Organizations & group practices 4

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708214400000",
    "number": "1316981376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10410 STANYAN ST",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224882",
            "telephone_number": "678-642-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6065 ROSWELL RD UPPR 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284034",
            "telephone_number": "678-642-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "MOLLY",
        "middle_name": "D.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2024-02-18",
        "certification_date": "2024-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT7689",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT007689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2024; 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.