Active NPI
Molly Kay King, DPT, ATC
- Physical Therapist
- North Liberty, IA
National Provider Identifier
1760896005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 085112
- Practice address
- 440 Madison Ave N
#3
North Liberty, IA 52317-7806 - Phone
- (612) 751-2554
- NPI assigned
- Jun 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 085112 | IA | Primary |
| Athletic Trainer | 2255A2300X | 074269 | IA |
Addresses
Primary practice location
440 Madison Ave N
#3
North Liberty, IA 52317-7806
Mailing address
440 Madison Ave N
#3
North Liberty, IA 52317-7806
Phone (612) 751-2554
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085112 | IA | MD | Physical Therapist |
| 074269 | IA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486425600000",
"number": "1760896005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 MADISON AVE N",
"address_2": "#3",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523177806",
"telephone_number": "612-751-2554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 MADISON AVE N",
"address_2": "#3",
"city": "NORTH LIBERTY",
"state": "IA",
"postal_code": "523177806",
"telephone_number": "612-751-2554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "MOLLY",
"middle_name": "KAY",
"name_prefix": "Dr.",
"credential": "DPT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-15",
"last_updated": "2017-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "085112",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IA",
"license": "074269",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Liberty, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.