Active NPI
Molly Leblanc, DPT
- Physical Therapist
- Tulsa, OK
National Provider Identifier
1366001174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5630
- Practice address
- 7401 Riverside Pkwy Unit 219
Tulsa, OK 74136-5057 - Phone
- (918) 216-9303
- Fax
- (539) 202-5007
- NPI assigned
- Jun 6, 2019
- 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 | 5630 | OK | Primary |
Addresses
Primary practice location
7401 Riverside Pkwy Unit 219
Tulsa, OK 74136-5057
Mailing address
5819 Hefner Village Cir
Oklahoma City, OK 73162-7757
Phone (775) 857-7907
Other practice location 1
1300 S Country Club Rd
El Reno, OK 73036-5304
Phone (405) 422-1291
Other names 1
- Molly Moran
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190809002034 | OK | Practitioner - Physical Therapist in Private Practice | 9638406895 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5630 | OK | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Mobile Health Care | Physical Therapist | Current | 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": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1366001174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5819 HEFNER VILLAGE CIR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731627757",
"telephone_number": "775-857-7907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7401 RIVERSIDE PKWY UNIT 219",
"city": "TULSA",
"state": "OK",
"postal_code": "741365057",
"telephone_number": "918-216-9303",
"fax_number": "539-202-5007"
}
],
"practiceLocations": [
{
"address_1": "1300 S Country Club Rd",
"address_purpose": "LOCATION",
"city": "El Reno",
"state": "OK",
"postal_code": "730365304",
"country_code": "US",
"telephone_number": "405-422-1291",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEBLANC",
"first_name": "MOLLY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-06",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "5630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MOLLY",
"last_name": "MORAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.