Amy Molley, OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

004351 Issued in GA

Practice address

6478 Putnam Ford Dr Ste 124
Woodstock, GA 30189-6987

Phone

(678) 895-5223

Fax

(678) 550-7684

NPI assigned

Dec 4, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Pediatric Therapy of Townelake, LLC

  • Occupational Therapist
  • Woodstock, GA
  • NPI 1093486375
  NPD Authorized official
• Kool Kidz Inc

  • Pediatric Physical Therapist
  • Marietta, GA
  • NPI 1134386337

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1447432109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 WAVELAND DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301894222",
            "telephone_number": "678-895-5223",
            "fax_number": "678-550-7684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6478 PUTNAM FORD DR STE 124",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896987",
            "telephone_number": "678-895-5223",
            "fax_number": "678-550-7684"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2465 Canopy Gln",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300661541",
            "country_code": "US",
            "telephone_number": "770-517-2480",
            "fax_number": "770-592-9431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLLEY",
        "first_name": "AMY",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-04",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "004351",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "004351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY",
            "identifier": "004351",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250330978G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Payton A Modarelli, OTR
• Sahil Modi
• Stanley R Mogelnicki, MD
• Abdul Raheem Mohammed
• Bikram K Mohanty, OTR/L
• Tatiana Chantal Momperousse
• Monarch Surgical Associates LLC
• Richard Raoul Monet, LMT
• Christine R Montgomery, PHD, BCBA
• Robert W Montgomery, PHD

• Pediatric Occupational Therapist in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Pediatric Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.