Active NPI
Molly Nestleroad, MT-BC
- Music Therapist
- Bradenton, FL
National Provider Identifier
1447965322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 17299
- Practice address
- 14615 Westbrook Cir Apt 212
Bradenton, FL 34211-2333 - Phone
- (765) 667-5468
- NPI assigned
- Jan 16, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 17299 | FL | Primary |
| Behavior Technician | 106S00000X | RBT-23-261575 | FL |
Addresses
Primary practice location
14615 Westbrook Cir Apt 212
Bradenton, FL 34211-2333
Mailing address
14615 Westbrook Cir Apt 212
Bradenton, FL 34211-2333
Phone (765) 667-5468
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 |
|---|---|---|---|
| 17299 | FL | MD | Mental Health Counselor |
| RBT-23-261575 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742601600000",
"number": "1447965322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14615 WESTBROOK CIR APT 212",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342112333",
"telephone_number": "765-667-5468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14615 WESTBROOK CIR APT 212",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342112333",
"telephone_number": "765-667-5468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESTLEROAD",
"first_name": "MOLLY",
"credential": "MT-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-16",
"last_updated": "2025-03-22",
"certification_date": "2025-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "FL",
"license": "17299",
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-23-261575",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.