Individual provider Active NPI

Anthony Molascon

  • Physical Therapist
  • Belleville, MI
National Provider Identifier
1720438666
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501017734 Issued in MI
Practice address
540 Main St
Belleville, MI 48111-2650
Phone
(734) 489-6440
Fax
(810) 632-1001
NPI assigned
Jun 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501017734 MI Primary

Addresses

Primary practice location

540 Main St
Belleville, MI 48111-2650

Mailing address

PO Box 412031
Boston, MA 02241-4909
Phone (914) 294-4050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160623001115 MI Practitioner - Physical Therapist in Private Practice 9436440393 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Probility Therapy ServicesGroup PAC ID 6305897414, 106 clinicians

Practice addresses (Care Compare)

3145 W Clark Rd
Suite 102
Ypsilanti, MI 48197-1120
Phone 73471277022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Rehabilitation Specialists of Fowlerville LLC Physical Therapist CurrentSince Jun 13, 2016 Accepting new patients
Ivyrehab Michigan, LLC Physical Therapist CurrentSince Apr 21, 2022 Accepting new patients
Probility Therapy Services Physical Therapist CurrentSince Nov 8, 2023 Accepting new patients
Michigan Rehabilitation Specialists of Fowlerville, LLC CurrentSince Jun 13, 2016 Accepting new patients
Probility Therapy Services CurrentSince Nov 8, 2023 Accepting new patients

Locations (25 of 28)

790 Remington Blvd
Bolingbrook, IL 60440

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

3157 Fairlane Dr
Allen Park, MI 48101
Phone (313) 827-0099

4765 Jackson Rd
Ste B
Ann Arbor, MI 48103
Phone (734) 926-4710

5700 Jackson Rd
Ann Arbor, MI 48103
Phone (734) 926-4710

2625 Plymouth Rd
Ann Arbor, MI 48105
Phone (734) 585-3313

3500 Washtenaw Ave
Ste B
Ann Arbor, MI 48104
Phone (734) 794-9915

540 Main St
Belleville, MI 48111
Phone (734) 489-6440

42955 Ford Rd
Canton, MI 48187
Phone (734) 981-2100

1110 S Main St
Chelsea, MI 48118
Phone (734) 593-3074

10078 Lapeer Rd
Ste B
Davison, MI 48423
Phone (810) 653-6200

7057 Dexter Ann Arbor Rd
Dexter, MI 48130
Phone (734) 426-1406

2810 Baker Rd
#101
Dexter, MI 48130
Phone (734) 424-9710

33566 W 8 Mile Rd
Ste A
Farmington Hills, MI 48335
Phone (248) 478-7330

10860 Highland Rd
Hartland, MI 48353
Phone (810) 632-1000

7300 Secor Rd
Ste 2
Lambertville, MI 48144
Phone (734) 854-1260

1235 Holiday Blvd
Monroe, MI 48162
Phone (734) 242-4866

17783 Haggerty Rd
Northville, MI 48168
Phone (248) 675-1875

1764 S Ortonville Rd
Ortonville, MI 48462
Phone (248) 793-5730

1764 S Ortonville Rd
Ste 400
Ortonville, MI 48462
Phone (248) 793-5730

44191 Plymouth Oaks Blvd
Ste 800
Plymouth, MI 48170
Phone (734) 259-7102

14349 Telegraph Rd
Redford, MI 48239
Phone (313) 541-2886

21308 Eureka Rd
Taylor, MI 48180
Phone (734) 759-0271

11650 Belleville Rd
Ste 102
Van Buren Township, MI 48111
Phone (734) 325-2443

5210 Highland Rd
Ste 100
Waterford, MI 48327
Phone (248) 674-9560

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1720438666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412031",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022414909",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 MAIN ST",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481112650",
            "telephone_number": "734-489-6440",
            "fax_number": "810-632-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLASCON",
        "first_name": "ANTHONY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501017734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.