Molly June Smith, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

60922601 Issued in WA

Practice address

106 Lakeside Ave
Seattle, WA 98122-6542

Phone

(304) 506-3876

NPI assigned

Jun 3, 2020

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)

Enrolled

State licenses

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.

• Run Seattle Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Seattle, WA
  • NPI 1023474202
  NPD

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1457975641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 E UNION ST APT 305",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981223357",
            "telephone_number": "406-529-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LAKESIDE AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981226542",
            "telephone_number": "304-506-3876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MOLLY",
        "middle_name": "JUNE",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60922601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Craig Smith, R.PH.
• Michael R Smith, DC
• Michael T Smith
• Michelle Smith, LMHC
• Michelle D Smith, PA-C
• Morgan Smith, MS, RD, CSSD
• Mychal Thomas Smith
• Nancy Colobong Smith, MN, ARNP, CNN
• Nancy Lynne Smith
• Nancy S. Smith, SLP-CCC

• Physical Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.