Individual provider Active NPI

Molly Boroughs, PTA

  • Physical Therapy Assistant
  • Denver, CO
National Provider Identifier
1750621660
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA.0012706 Issued in CO
Practice address
195 S Pennsylvania St
Apt 306
Denver, CO 80209-1957
Phone
(703) 728-8612
NPI assigned
Mar 1, 2013
Last updated
Mar 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA.0012706 CO Primary
Massage Therapist 225700000X MT.0012105 CO

Addresses

Primary practice location

195 S Pennsylvania St
Apt 306
Denver, CO 80209-1957

Mailing address

195 S Pennsylvania St
Apt 306
Denver, CO 80209-1957
Phone (703) 728-8612

Other names 1

  • Molly Dewey Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA.0012706COMDPhysical Therapy Assistant
MT.0012105COMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1750621660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 S PENNSYLVANIA ST",
            "address_2": "APT 306",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802091957",
            "telephone_number": "703-728-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 S PENNSYLVANIA ST",
            "address_2": "APT 306",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802091957",
            "telephone_number": "703-728-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOROUGHS",
        "first_name": "MOLLY",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "PTA.0012706",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0012105",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "DEWEY",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; 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.