Active NPI
Molly W. Harris, MS, OTR/L
- Occupational Therapist
- Syracuse, NY
National Provider Identifier
1659637718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 63-01766
- Practice address
- 750 E. Adams St.
Physical Medicine & Rehabilitation
Syracuse, NY 13210 - Phone
- (315) 464-2300
- Fax
- (315) 464-1901
- NPI assigned
- Apr 3, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 63-01766 | NY | Primary |
Addresses
Primary practice location
750 E. Adams St.
Physical Medicine & Rehabilitation
Syracuse, NY 13210
Mailing address
750 E. Adams St.
Physical Medicine & Rehabilitation
Syracuse, NY 13210
Phone (315) 464-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161469571 | Medicaid | NY |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63-01766 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333411200000",
"number": "1659637718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 E. ADAMS ST.",
"address_2": "PHYSICAL MEDICINE & REHABILITATION",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13210",
"telephone_number": "315-464-2300",
"fax_number": "315-464-1901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E. ADAMS ST.",
"address_2": "PHYSICAL MEDICINE & REHABILITATION",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13210",
"telephone_number": "315-464-2300",
"fax_number": "315-464-1901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "MOLLY",
"middle_name": "W.",
"name_prefix": "Ms.",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-03",
"last_updated": "2012-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "63-01766",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "161469571",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.