Individual provider Active NPI

Molly Ann Evans, MOT, OTR/L

  • Occupational Therapist
  • Lima, OH
National Provider Identifier
1508367467
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT010093 Issued in OH
Practice address
2651 Fort Amanda Rd
Lima, OH 45804-3730
Phone
(419) 228-8412
Fax
(419) 228-8612
NPI assigned
Feb 26, 2018
Last updated
May 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT010093 OH Primary

Addresses

Primary practice location

2651 Fort Amanda Rd
Lima, OH 45804-3730

Mailing address

1100 Shawnee Rd
Lima, OH 45805-3583
Phone (419) 999-2010

Other names 1

  • Molly Hipsher Former name

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1508367467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SHAWNEE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458053583",
            "telephone_number": "419-999-2010",
            "fax_number": "419-999-6284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 FORT AMANDA RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458043730",
            "telephone_number": "419-228-8412",
            "fax_number": "419-228-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS",
        "first_name": "MOLLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT010093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "HIPSHER",
            "credential": "MOT, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.