Active NPI
Molly Parker, D.P.T.
- Orthopedic Physical Therapist
- San Clemente, CA
National Provider Identifier
1346539772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 37691
- Practice address
- 1327 Calle Avanzado
Suite B
San Clemente, CA 92673-6351 - Phone
- (949) 481-0015
- Fax
- (949) 481-5611
- NPI assigned
- Apr 6, 2011
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 37691 | CA | Primary |
Addresses
Primary practice location
1327 Calle Avanzado
Suite B
San Clemente, CA 92673-6351
Mailing address
26509 Camino de Vis Apt B
San Juan Capistrano, CA 92675-5142
Phone (480) 239-4697
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 |
|---|---|---|---|
| 37691 | CA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signature Physical Therapy P C | Orthopedic | Past | Accepting new patients |
Organizations & group practices 1
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": "1302048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302048000000",
"number": "1346539772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26509 CAMINO DE VIS APT B",
"city": "SAN JUAN CAPISTRANO",
"state": "CA",
"postal_code": "926755142",
"telephone_number": "480-239-4697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1327 CALLE AVANZADO",
"address_2": "SUITE B",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926736351",
"telephone_number": "949-481-0015",
"fax_number": "949-481-5611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "MOLLY",
"credential": "D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-06",
"last_updated": "2011-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "37691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.