Individual provider Active NPI

Molly Kiersten Mikles, PT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1326046483
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5543 Issued in AZ
Practice address
3988 E Fort Lowell Rd
Tucson, AZ 85712-1010
Phone
(520) 488-5291
NPI assigned
Jul 12, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 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 5543 AZ Primary

Addresses

Primary practice location

3988 E Fort Lowell Rd
Tucson, AZ 85712-1010

Mailing address

2850 N Country Club Rd
Tucson, AZ 85716-1910
Phone (520) 322-6274

Other practice location 1

2001 W Orange Grove Rd Ste 114
Tucson, AZ 85704-1140
Phone (520) 742-7107

Other practice location 2

6264 E Grant Rd
Tucson, AZ 85712-5882
Phone (520) 884-0001

Other practice location 3

10445 N Oracle Rd
Tucson, AZ 85737-9358
Phone (520) 488-5291

Other identifiers 1

IdentifierTypeStateIssuer
105729MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.sol-pt.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080408000565 AZ Practitioner - Physical Therapist in Private Practice 6709963283 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Agility Spine and Sports Physical Therapy and Rehabilitation LP 28 clinicians

Practice addresses (Care Compare)

1777 W Saint Marys Rd
Suite 121
Tucson, AZ 85745-2688
Phone (520) 884-9819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5543AZMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunbelt Medical Group LLC Physical Therapist CurrentSince Sep 1, 2020 Accepting new patients
Agility Spine & Sports Physical Therapy and Rehabilitation LP Physical Therapist Current Accepting new patients
Agility Spine & Sports Physical Therapy and Rehabilitation LP Physical Therapist CurrentSince Oct 28, 2024 Accepting new patients
Sunbelt Medical Group LLC CurrentSince Sep 1, 2020 Accepting new patients
Agility Spine & Sports Physical Therapy and Rehabilitation LP Physical Therapist CurrentSince Oct 28, 2024 Accepting new patients
Bodycentral Physical Therapy P C PastSince Jun 20, 2015 Accepting new patients
Bodycentral Physical Therapy PC Past Accepting new patients

Locations

3455 Canyon de Flores
Ste B2
Sierra Vista, AZ 85650
Phone (520) 803-9727

2850 N Country Club Rd
Tucson, AZ 85716
Phone 52032262747104

10445 N Oracle Rd
Ste 101
Tucson, AZ 85737
Phone (520) 488-1133

6264 E Grant Rd
Tucson, AZ 85712
Phone (520) 884-0001

1777 W Saint Marys Rd
Ste 121
Tucson, AZ 85745
Phone (520) 884-9819

3988 E Fort Lowell Rd
Tucson, AZ 85712
Phone (520) 209-1919

10445 N Oracle Rd
Tucson, AZ 85737
Phone (520) 488-1133

Organizations & group practices 8

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1326046483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 N COUNTRY CLUB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857161910",
            "telephone_number": "520-322-6274",
            "fax_number": "520-321-0495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3988 E FORT LOWELL RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121010",
            "telephone_number": "520-488-5291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 W Orange Grove Rd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857041140",
            "country_code": "US",
            "telephone_number": "520-742-7107",
            "fax_number": "520-742-9010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6264 E Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857125882",
            "country_code": "US",
            "telephone_number": "520-884-0001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10445 N Oracle Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857379358",
            "country_code": "US",
            "telephone_number": "520-488-5291",
            "fax_number": "520-689-6810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKLES",
        "first_name": "MOLLY",
        "middle_name": "KIERSTEN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105729",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.sol-pt.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3988 E Fort Lowell Rd",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857121010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.