Molly Coady, PTA

Individual provider Active NPI Physical Therapy Assistant · Minden, NV

NPI 1689310393 · NPPES record last updated May 6, 2022

Key facts

NPI
1689310393
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
A-1333 (NV)
Practice address
1667 Lucerne St Ste B
Minden, NV 89423-4360
Phone
(775) 783-7606
NPI assigned
May 6, 2022
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
A-1333NVMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bodywise Physical Therapy Current
since May 8, 2022
Accepting new patients

Locations

1667 Lucerne St
Ste B
Minden, NV 89423
Phone 7757475050123

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A-1333 NV Yes

Addresses

Primary practice location

1667 Lucerne St Ste B
Minden, NV 89423-4360

Mailing address

PO Box 34120
Reno, NV 89533-4120
Phone (775) 747-5050

Other providers in Minden, NV

All providers in Minden, NV · Physical Therapy Assistant in Nevada

Sources for this page

Verify at the official NPI Registry.