Molly V McMullen, PT, ATC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

PT013649 Issued in OH

Practice address

6438 Wilmington Pike
Centerville, OH 45459-7022

Phone

(938) 558-3810

Fax

(937) 558-3811

NPI assigned

Jul 17, 2023

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1497434427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 MCKINLEY CT",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453424065",
            "telephone_number": "269-426-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6438 WILMINGTON PIKE",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454597022",
            "telephone_number": "938-558-3810",
            "fax_number": "937-558-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "MOLLY",
        "middle_name": "V",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "OH",
            "license": "PT013649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick M. McGrail, PHARM D, CGP. FASCP
• Brandie Lyn McGuire, MSN, APRN, WHNP-BC
• Robert McGuire
• Andrea N. McKay, APRN.CNP
• Kristin Ellen McLean, PT, DPT
• Kristian Aundrea McNeal
• Aimee Nicole McWilliams, PSY.D.
• Medical South Family Practice Assoc Inc
• Medix Urgent Care and Occupational Health, LLC
• Maria E Meibers

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Centerville, OH
• Providers in Centerville, OH by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.