Molly Smith, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3290 Issued in TN

Practice address

3965 S Mendenhall Rd
Memphis, TN 38115-5914

Phone

(901) 620-3900

Fax

(901) 620-3901

NPI assigned

Feb 12, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1629469671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3539 HARVEST LN",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381332643",
            "telephone_number": "901-409-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3965 S MENDENHALL RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381155914",
            "telephone_number": "901-620-3900",
            "fax_number": "901-620-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MOLLY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "3290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maurice M Smith, MD
• Melissa Smith
• Michael A Smith, D.D.S.
• Miranda Eliza Smith
• Miranda Grace Smith, OTR/L
• Nakicia Smith, LCSW
• Nastassia Smith, FNP
• Navy O'Neal Smith
• Phillip Karl Smith, M.D.
• R. Kuhen Smith, D.D.S.

• Physical Therapy Assistant in Memphis, TN
• Providers in Memphis, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.