Active NPI
Molly Gradl, PT, DPT
- Physical Therapist
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 37513
- Practice address
- 1405 S Orange Ave
Orlando, FL 32806-2154 - Phone
- (407) 522-4525
- NPI assigned
- Nov 12, 2021
- Last updated
- Nov 12, 2021
- 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 | 37513 | FL | Primary |
Addresses
Primary practice location
1405 S Orange Ave
Orlando, FL 32806-2154
Mailing address
1405 S Orange Ave
Orlando, FL 32806-2154
Phone (407) 522-4525
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3745 Shawnee Rd
Suite 103
Lima, OH 45806-1618
3745 Shawnee Rd
Suite 103
Lima, OH 45806-1660
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37513 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cora Health Services, Inc | Current | Accepting new patients | |
| Cora Health Services, Inc. | Current | Accepting new patients |
Locations
1405 S Orange Ave
Orlando, FL 32806
Phone (407) 426-8331
1114 Bichara Blvd
The Villages, FL 32159
Phone (352) 557-0832
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CORA Physical Therapy - Spanish Springs
- Rehabilitation Clinic/Center
- The Villages, FL
- NPI 1679009997
-
dba CORA Physical Therapy-Stoneybrook
- Rehabilitation Clinic/Center
- Winter Garden, FL
- NPI 1104786805
-
dba CORA Physical Therapy - Grand Traverse
- Rehabilitation Clinic/Center
- The Villages, FL
- NPI 1447816731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636675200000",
"number": "1396401402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 S ORANGE AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062154",
"telephone_number": "407-522-4525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 S ORANGE AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062154",
"telephone_number": "407-522-4525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRADL",
"first_name": "MOLLY",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-12",
"last_updated": "2021-11-12",
"certification_date": "2021-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "37513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2021; 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.