Robert John Mollica, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT004049L Issued in PA

Practice address

607 McBride St
Clearfield, PA 16830-1219

Phone

(814) 765-3970

Fax

(814) 765-3980

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Robert Mollica Physical Therapy

  • Physical Therapist
  • Clearfield, PA
  • NPI 1396919023
  NPD (past) Authorized official

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740362060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 MCBRIDE ST",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168301219",
            "telephone_number": "814-765-3970",
            "fax_number": "814-765-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 MCBRIDE ST",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168301219",
            "telephone_number": "814-765-3970",
            "fax_number": "814-765-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLICA",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT004049L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP NUMBER",
            "identifier": "172063",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS SINGLE PROVIDER #",
            "identifier": "463510",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie L. Mier, DPT
• Courtney L Mikesell, COTA
• Marsh Mills, RN
• Rashmi Mishra, M.D.
• Kenneth John Mitchell II, PHARMACIST
• Orlinda Moore
• Samantha Leigh Morgan, MS, ATC, PES
• George C Mosch II, M.D.
• Melanie Marie Moskel, LPC
• Mountain Laurel Opco, LLC

• Physical Therapist in Clearfield, PA
• Providers in Clearfield, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.