Individual provider Active NPI

Molly Kate Routson, L.M.T.

  • Specialist
  • The Dalles, OR
National Provider Identifier
1528343837
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
18414 Issued in OR
Practice address
1012 Trevitt St
The Dalles, OR 97058-1463
Phone
(541) 296-6495
Fax
(541) 296-6497
NPI assigned
Oct 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 18414 OR Primary

Addresses

Primary practice location

1012 Trevitt St
The Dalles, OR 97058-1463

Mailing address

1012 Trevitt St
The Dalles, OR 97058-1463
Phone (541) 296-6495

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18414ORMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1528343837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 TREVITT ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970581463",
            "telephone_number": "541-296-6495",
            "fax_number": "541-296-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 TREVITT ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970581463",
            "telephone_number": "541-296-6495",
            "fax_number": "541-296-6497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUTSON",
        "first_name": "MOLLY",
        "middle_name": "KATE",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-18",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "18414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Dalles, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.