Thomas Mollsen

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070013496 Issued in IL

Practice address

1355 E Golf Rd Ste 100
Des Plaines, IL 60016-1544

Phone

(847) 376-8289

Fax

(224) 938-9654

NPI assigned

Aug 11, 2006

Sex

Male

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

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Midwest Manual Physical Therapy PC

  • Physical Medicine & Rehabilitation Physician
  • Des Plaines, IL
  • NPI 1982163390

  Physical Therapist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1477564730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 E GOLF RD STE 100",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161544",
            "telephone_number": "847-376-8289",
            "fax_number": "224-938-9654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 E GOLF RD STE 100",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161544",
            "telephone_number": "847-376-8289",
            "fax_number": "224-938-9654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLSEN",
        "first_name": "THOMAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Abtahi M.D.
• Nawaz Ali Mohammad
• Rahman Fazil Mohammed Abdul, M.D.
• Abdul Mohammed
• Clifford Michael Mollsen Jr., DDS
• Moments Palliative Care LLC
• Jeffrey A Mono, MD
• Nancy Monroe, APRN
• Brieanna C Montmarquette, ATC
• Montys Clinical Lab LLC

• Physical Therapist in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; 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.