Richelle Mae San Jose Molina, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 35092 Issued in CA

Practice address

1932 Hacienda Dr
Vista, CA 92081-6024

Phone

(760) 630-2258

Fax

(760) 630-5367

NPI assigned

Feb 10, 2009

Last updated

Mar 31, 2014By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: richelle.molina.1@29676.direct.athenahealth.com

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396224000000",
    "number": "1700025103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24630 WASHINGTON AVE",
            "address_2": "SUITE 200",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925626177",
            "telephone_number": "951-696-9353",
            "fax_number": "951-973-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 HACIENDA DR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816024",
            "telephone_number": "760-630-2258",
            "fax_number": "760-630-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "RICHELLE MAE",
        "middle_name": "SAN JOSE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-10",
        "last_updated": "2014-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 35092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF WASHINGTON DEPT. OF LABOR AND INDUSTRIES",
            "identifier": "0246125",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Neil Moffett
• Mohammad Ali Zareh DDS Inc
• Patricia Johanna Mohan, SLP
• Robert P Mohr, DDS MS
• Molina Optometry Corp
• Telesforo Alcon Molina, MD
• Lauren Molloy
• Monarch Home
• Monica Perlman MD Inc. (Perlman Clinic)
• Monroe Operations, LLC (Newport Academy-Del Cerro)

• Physical Therapist in Vista, CA
• Providers in Vista, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2014; 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.