Active NPI
Joy Molloy, PTA
- Physical Therapy Assistant
- Jonesboro, AR
National Provider Identifier
1629464755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA 3926
- Practice address
- 1218 Stone St Ste 140
Jonesboro, AR 72401-4568 - Phone
- (870) 336-0220
- Fax
- (870) 558-5637
- NPI assigned
- Apr 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA 3926 | AR | Primary |
Addresses
Primary practice location
1218 Stone St Ste 140
Jonesboro, AR 72401-4568
Mailing address
200 W Broadway St
West Memphis, AR 72301-3904
Phone (870) 394-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207745721 | Medicaid | AR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTA 3926 | AR | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leap Therapy Solutions, LLC | Physical Therapy Assistant | Current | Accepting new patients |
| Kids for the Future of Forrest City, Inc. | Physical Therapy Assistant | Past | Accepting new patients |
Locations
1218 Stone St
Ste 140
Jonesboro, AR 72401
Phone (870) 336-0220
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.
-
- Occupational Therapist
- Jonesboro, AR
- NPI 1033561584
Physical Therapy Assistant
-
- Early Intervention Provider Agency
- Forrest City, AR
- NPI 1043530017
Physical Therapy Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1629464755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W BROADWAY ST",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723013904",
"telephone_number": "870-394-7000",
"fax_number": "870-394-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1218 STONE ST STE 140",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724014568",
"telephone_number": "870-336-0220",
"fax_number": "870-558-5637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLLOY",
"first_name": "JOY",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-15",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "AR",
"license": "PTA 3926",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207745721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.