Micheline Rose Molidor, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1195456 Issued in TX

Practice address

7939 Meadowbrook Ave
Frisco, TX 75034-3617

Phone

(214) 208-8614

NPI assigned

Jun 24, 2009

Last updated

Sep 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Willow Physical Therapy, Limited

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  • NPI 1831123165
  NPD (past)

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1659509040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7939 MEADOWBROOK AVE",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343617",
            "telephone_number": "214-208-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7939 MEADOWBROOK AVE",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343617",
            "telephone_number": "214-208-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLIDOR",
        "first_name": "MICHELINE",
        "middle_name": "ROSE",
        "name_prefix": "Miss",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT24725",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60994978",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1195456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nazimuddin T Mohammed, MD
• Mahesh Mohan, MD
• Sakshi Mohta
• Moike Enterprises LLC (Rx Square Pharmacy)
• Vidale Mokonya
• Citlali Molina
• Jenifer Molitor
• Madison Molitor, DC
• Monarch Medical Solutions LLC
• Michael Monarrez

• Physical Therapist in Frisco, TX
• Providers in Frisco, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.