Active NPI
Rebecca Moll, PT, DPT
- Physical Therapist
- Richmond, KY
National Provider Identifier
1679338966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008963
- Practice address
- 350 Radio Park Dr Ste 1
Richmond, KY 40475-2998 - Phone
- (859) 625-5986
- NPI assigned
- Feb 16, 2024
- Last updated
- Feb 16, 2024
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 008963 | KY | Primary |
Addresses
Primary practice location
350 Radio Park Dr Ste 1
Richmond, KY 40475-2998
Mailing address
112 Twin Ridge Dr
Bedford, KY 40006-8432
Other practice location 1
780 E Brannon Rd
Nicholasville, KY 40356-6038
Phone (859) 443-7771
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 |
|---|---|---|---|
| 008963 | KY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundation Hand & Physical Therapy | Physical Therapist | Current | Accepting new patients |
Locations
350 Radio Park Dr
Ste 1
Richmond, KY 40475
Phone (859) 625-5986
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1679338966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 TWIN RIDGE DR",
"city": "BEDFORD",
"state": "KY",
"postal_code": "400068432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 RADIO PARK DR STE 1",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404752998",
"telephone_number": "859-625-5986"
}
],
"practiceLocations": [
{
"address_1": "780 E Brannon Rd",
"address_purpose": "LOCATION",
"city": "Nicholasville",
"state": "KY",
"postal_code": "403566038",
"country_code": "US",
"telephone_number": "859-443-7771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOLL",
"first_name": "REBECCA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-16",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "008963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.