Molly Beth Paterson

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

8566 Issued in TN

Practice address

29 Garrett Dr
Medina, TN 38355-9639

Phone

(731) 783-0263

Fax

(731) 783-0511

NPI assigned

Jan 24, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jackson Madison County General Hospital

  dba JMCGH Radiology Professional

  • Diagnostic Radiology Physician
  • Jackson, TN
  • NPI 1891687208
  NPD (past)
• Lift Therapy, Inc.

  dba LIFT Therapy

  • Rehabilitation Clinic/Center
  • Jackson, TN
  • NPI 1114267986
  NPD (past)

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1417769662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MEADOWBROOK DR",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383586810",
            "telephone_number": "731-414-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 GARRETT DR",
            "city": "MEDINA",
            "state": "TN",
            "postal_code": "383559639",
            "telephone_number": "731-783-0263",
            "fax_number": "731-783-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATERSON",
        "first_name": "MOLLY",
        "middle_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "8566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberle Anne Moody, PTA
• Rachel Alexandra Nelson, DO
• Michael Edward Ort, M.D.
• P a Corporate Enterprises LLP (South Gibson Family Care)
• Luis Pagoaga, M.D.
• Patterson Family Dentistry
• Brian S Patterson, D.D.S., B.S.
• Darren R Perry, CFNP
• Mechelle T Perry, CFNP
• Jennifer Elizabeth Rice, AGNP-C

• Physical Therapy Assistant in Medina, TN
• Providers in Medina, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.