Active NPI
Molly Danielle Cerrito
- Athletic Trainer
- Tulsa, OK
National Provider Identifier
1407256803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 778
- Practice address
- 6475 S Yale Ave
Suite 301
Tulsa, OK 74136-7816 - Phone
- (918) 494-9300
- Fax
- (918) 494-9355
- NPI assigned
- Sep 4, 2014
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 778 | OK | Primary |
Addresses
Primary practice location
6475 S Yale Ave
Suite 301
Tulsa, OK 74136-7816
Mailing address
6475 S Yale Ave
Suite 301
Tulsa, OK 74136-7816
Phone (918) 494-9300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 778 | Other | OK | OKLAHOMA STATE BOARD OF MEDICAL LICENSURE AND SUPERVISION |
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 |
|---|---|---|---|
| 778 | OK | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409788800000",
"number": "1407256803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6475 S YALE AVE",
"address_2": "SUITE 301",
"city": "TULSA",
"state": "OK",
"postal_code": "741367816",
"telephone_number": "918-494-9300",
"fax_number": "918-494-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6475 S YALE AVE",
"address_2": "SUITE 301",
"city": "TULSA",
"state": "OK",
"postal_code": "741367816",
"telephone_number": "918-494-9300",
"fax_number": "918-494-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERRITO",
"first_name": "MOLLY",
"middle_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-04",
"last_updated": "2014-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OK",
"license": "778",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OKLAHOMA STATE BOARD OF MEDICAL LICENSURE AND SUPERVISION",
"identifier": "778",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}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 Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.