Molly S Poulin, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

011035 Issued in CT

Practice address

665 Terryville Ave Unit 1
Bristol, CT 06010-4078

Phone

(860) 973-4995

Fax

(860) 973-4996

NPI assigned

Oct 18, 2016

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 names 1

• Molly Spargo Former name

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spargo Physical Therapy LLCGroup PAC ID 6507108073, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Spargo Physical Therapy LLC

  • Physical Therapist
  • Bristol, CT
  • NPI 1366909541
  Medicare reassignment Care Compare group NPD
• Focus Physical Therapy & Sports Medicine LLC

  • Physical Therapy Clinic/Center
  • Berlin, CT
  • NPI 1780868505

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1476748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1730630401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060110042",
            "telephone_number": "860-973-4995",
            "fax_number": "860-973-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 TERRYVILLE AVE UNIT 1",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104078",
            "telephone_number": "860-973-4995",
            "fax_number": "860-973-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULIN",
        "first_name": "MOLLY",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-18",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "011035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "SPARGO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Olivia Lynn Porter
• Laura P Posada-Pacheco, D.D.S.,M.D.S.
• Posner & Henderson, P.C.
• Howard J Posner, DDS
• Potentilla Therapy PLLC
• Isabella Rosalie Pratt, RD
• Timothy M Pratt, DO
• Lindsay Prendergast
• Jocelyn Rose Prezioso, DPT
• Price Chopper Inc

• Physical Therapist in Bristol, CT
• Providers in Bristol, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.