Active NPI
Molly Marie McKay, M.P.T.
- Physical Therapist
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 011743
- Practice address
- 1441 Reynolds St
Augusta, GA 30901-1048 - Phone
- (706) 922-6550
- Fax
- (706) 922-5330
- NPI assigned
- Nov 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1139509 | TX | |
| Physical Therapist | 225100000X | 011743 | GA | Primary |
Addresses
Primary practice location
1441 Reynolds St
Augusta, GA 30901-1048
Mailing address
2520 Associates Way
Evans, GA 30809-3106
Phone (706) 922-6550
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6362783 | Other | TX | CIGNA |
| 8T1934 | Other | TX | BLUE CROSS BLUE SHIELD |
| 2073319 | Other | TX | FIRST HEALTH CCN |
| 7615482 | Other | TX | AETNA |
Other names 1
- Molly Marie Brunson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1441 Reynolds St
Augusta, GA 30901-1048
Phone (706) 823-3807
2520 Associates Way
Evans, GA 30809-3106
Phone (706) 922-6550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011743 | GA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peak Rehabilitation, Fitness and Performance Center | Physical Therapist | Current | Accepting new patients |
| Temple Builders, LLC | Current | Accepting new patients | |
| Caba Therapy Services | Physical Therapist | Past | Accepting new patients |
Locations
1305 Dantignac St
Augusta, GA 30901
Phone (706) 823-2807
1441 Reynolds St
Augusta, GA 30901
Phone (706) 823-3807
1305 Dantignac St
#D
Augusta, GA 30901
Phone (706) 823-3807
2520 Associates Way
Evans, GA 30809
Phone (706) 823-3807
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Augusta, GA
- NPI 1306083878
Physical Therapist
-
- Physical Therapy Clinic/Center
- Evans, GA
- NPI 1114876315
-
- Physical Therapist
- Baytown, TX
- NPI 1548338528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1518035658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 ASSOCIATES WAY",
"city": "EVANS",
"state": "GA",
"postal_code": "308093106",
"telephone_number": "706-922-6550",
"fax_number": "706-922-5330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 REYNOLDS ST",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309011048",
"telephone_number": "706-922-6550",
"fax_number": "706-922-5330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKAY",
"first_name": "MOLLY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "M.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-30",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1139509",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "011743",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6362783",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8T1934",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH CCN",
"identifier": "2073319",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7615482",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MOLLY",
"last_name": "BRUNSON",
"middle_name": "MARIE",
"credential": "M.P.T.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.