Lauren Molinelli, ATC, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01636200 Issued in NJ

Practice address

121 Main St
Forrestal Village Fitness-Jag Physical Therapy
Princeton, NJ 08540-5755

Phone

(609) 580-1520

Fax

(609) 580-1098

NPI assigned

Sep 30, 2015

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

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jag-One Physical Therapy LLCGroup PAC ID 2769584325, 334 clinicians

Practice addresses (Care Compare)

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.

• Jag-One Physical Therapy, LLC

  • Physical Therapist
  • West Orange, NJ
  • NPI 1518017144
  Medicare reassignment Care Compare group NPD
• Premier Medical and Sports Rehabilitation LLC

  • Chiropractor
  • Princeton, NJ
  • NPI 1275857427

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1497125686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MAIN ST",
            "address_2": "FORRESTAL VILLAGE FITNESS-JAG PHYSICAL THERAPY",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405755",
            "telephone_number": "609-580-1520",
            "fax_number": "609-580-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MAIN ST",
            "address_2": "FORRESTAL VILLAGE FITNESS-JAG PHYSICAL THERAPY",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085405755",
            "telephone_number": "609-580-1520",
            "fax_number": "609-580-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINELLI",
        "first_name": "LAUREN",
        "credential": "ATC, PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01636200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arik Mizrachi, MD
• Mobile Audiology Associates, P.C.
• Tamerra P. Moeller, PH.D.
• Ishaana Mohanty, LMSW
• Alberto Molina, ABI
• Shawn E Mollin, PT
• Jennifer Monga, RN
• Kay M Monkhouse, PH.D.
• Matthew Raymond Montenero, DDS
• Montgomery Behavioral Healthcare P.C.

• Physical Therapist in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; 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.