Individual provider Active NPI

Molly Olivia Roffman, PT MA CEEAA

  • Geriatric Physical Therapist
  • Briarcliff Manor, NY
National Provider Identifier
1336543743
Registry record updated Jan 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
011586-1 Issued in NY
Practice address
325 S Highland Ave Ste 109
Briarcliff Manor, NY 10510-2096
Phone
(914) 486-8125
NPI assigned
Oct 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Physical Therapist 225100000X 001586 NY
Geriatric Physical Therapist 2251G0304X 011586-1 NY Primary

Addresses

Primary practice location

325 S Highland Ave Ste 109
Briarcliff Manor, NY 10510-2096

Mailing address

325 S Highland Ave Ste 109
Briarcliff Manor, NY 10510-2096
Phone (914) 292-0602

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
001586NYMDAthletic Trainer
011586-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577836800000",
    "number": "1336543743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 S HIGHLAND AVE STE 109",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105102096",
            "telephone_number": "914-292-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 S HIGHLAND AVE STE 109",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105102096",
            "telephone_number": "914-486-8125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROFFMAN",
        "first_name": "MOLLY",
        "middle_name": "OLIVIA",
        "credential": "PT MA CEEAA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2020-01-01",
        "certification_date": "2020-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "001586",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NY",
            "license": "011586-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Briarcliff Manor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.