Individual provider Active NPI

Molly Carboy, DPT

  • Physical Therapist
  • Overland Park, KS
National Provider Identifier
1528438751
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-06941 Issued in KS
Practice address
6701 W 121St St
Overland Park, KS 66209-2003
Phone
(303) 242-2027
Fax
(610) 335-4007
NPI assigned
Sep 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8711 CT
Physical Therapist 225100000X PTL.0013660 CO
Physical Therapist 225100000X 11-06941 KS Primary

Addresses

Primary practice location

6701 W 121St St
Overland Park, KS 66209-2003

Mailing address

14360 W 116TH St Apt 3402
Olathe, KS 66062-3857
Phone (845) 313-2447

Other practice location 1

329 Exempla Cir
Lafayette, CO 80026-3482
Phone (845) 313-2447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220511002016 KS Practitioner - Physical Therapist in Private Practice 5294097002 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0013660COMDPhysical Therapist
8711CTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bluestem Therapy Inc Physical Therapist CurrentSince Mar 23, 2024 Accepting new patients
Tidd-Krafft Occupational and Physical Therapy PA Physical Therapist CurrentSince Apr 13, 2022 Accepting new patients

Locations

200 W Cedar St
Hesston, KS 67062
Phone (620) 327-0400

4400 W 115th St
Leawood, KS 66211
Phone (913) 213-3886

3001 Ivy Dr
North Newton, KS 67117
Phone (316) 284-2900

6701 W 121st St
Overland Park, KS 66209
Phone (610) 925-4560

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1528438751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14360 W 116TH ST APT 3402",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660623857",
            "telephone_number": "845-313-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 W 121ST ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662092003",
            "telephone_number": "303-242-2027",
            "fax_number": "610-335-4007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "329 Exempla Cir",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800263482",
            "country_code": "US",
            "telephone_number": "845-313-2447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARBOY",
        "first_name": "MOLLY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "8711",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0013660",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-06941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.