Mollyanna Nelson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH5005 Issued in AL

Practice address

3078 Dauphin SQ Connector
Mobile, AL 36607-2500

Phone

(251) 341-5662

Fax

(251) 341-5663

NPI assigned

Apr 17, 2007

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Encore Rehabilitation, IncGroup PAC ID 3577462126, 182 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Encore Rehabilitation, Inc

  • Physical Therapy Clinic/Center
  • Decatur, AL
  • NPI 1003819608
  Medicare reassignment Care Compare group
• Encore Rehabiliation Inc

  dba Encore Rehab of Moulton

  • Physical Therapy Clinic/Center
  • Moulton, AL
  • NPI 1700912052
  NPD (past)
• Encore Rehabiliation Inc

  dba Encore Rehab of Decatur

  • Physical Therapy Clinic/Center
  • Decatur, AL
  • NPI 1841325891
  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of Mobile TC

  • Physical Therapy Clinic/Center
  • Theodore, AL
  • NPI 1043346380
  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of Muscle Shoals

  • Physical Therapy Clinic/Center
  • Muscle Shoals, AL
  • NPI 1063548345
  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of Fairfield

  • Physical Therapy Clinic/Center
  • Birmingham, AL
  • NPI 1063881464
  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of Gulf Shores

  • Physical Therapy Clinic/Center
  • Gulf Shores, AL
  • NPI 1073648036
  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab on 59 Eva Road

  • Physical Therapy Clinic/Center
  • Somerville, AL
  • NPI 1174997514
  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of Orange Beach

  • Physical Therapy Clinic/Center
  • Orange Beach, AL
  • NPI 1316073679
  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of McIntosh

  • Physical Therapy Clinic/Center
  • McIntosh, AL
  • NPI 1316113087
  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of Russellville

  • Physical Therapy Clinic/Center
  • Russellville, AL
  • NPI 1356477624
  NPD (past)
• Encore Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Valley, AL
  • NPI 1396871679
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1447476916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 FLINT RD SE",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016031",
            "telephone_number": "256-340-9708",
            "fax_number": "256-340-9624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3078 DAUPHIN SQ CONNECTOR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366072500",
            "telephone_number": "251-341-5662",
            "fax_number": "251-341-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MOLLYANNA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH5005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "DB9027",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529917620",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1003819608",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah E Nelson, RPT
• Glenn Nelson, MD
• Katie Nelson
• Mary Nelson
• Megan Nelson, DO
• Phillip Nelson
• Taylor Nelson
• Tracy Jevon Nelson, FNP
• Mary Kathryn Neno, RN
• Nephrology Associates of Mobile, P.a.

• Physical Therapist in Mobile, AL
• Providers in Mobile, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.

Verify at the official NPI Registry.