Active NPI
Lisa D Molina
- Physical Therapist
- Danvers, MA
National Provider Identifier
1326476896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11024
- Practice address
- 107 Centre St
Danvers, MA 01923-1422 - Phone
- (978) 624-7963
- NPI assigned
- Oct 21, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11024 | MA | Primary |
Addresses
Primary practice location
107 Centre St
Danvers, MA 01923-1422
Mailing address
107 Centre St
Danvers, MA 01923-1422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11024 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382313600000",
"number": "1326476896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 CENTRE ST",
"city": "DANVERS",
"state": "MA",
"postal_code": "019231422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 CENTRE ST",
"city": "DANVERS",
"state": "MA",
"postal_code": "019231422",
"telephone_number": "978-624-7963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLINA",
"first_name": "LISA",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-21",
"last_updated": "2013-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "11024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.