Active NPI
Molly Thayer
- Pediatrics Physician
- Silver Spring, MD
National Provider Identifier
1801367602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 08452
- Practice address
- 12520 Prosperity Dr Ste 210
Silver Spring, MD 20904-1684 - Phone
- (301) 869-7505
- NPI assigned
- Dec 6, 2018
- 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 Medicine & Rehabilitation Physician | 208100000X | 08452 | MD | |
| Pediatrics Physician | 208000000X | 08452 | MD | Primary |
Addresses
Primary practice location
12520 Prosperity Dr Ste 210
Silver Spring, MD 20904-1684
Mailing address
931 Crofton Valley Dr
Gambrills, MD 21054-1650
Other practice location 1
2001 Medical Pkwy
Annapolis, MD 21401-3773
Phone (443) 481-1000
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
| License | State | Type | Specialty |
|---|---|---|---|
| 08452 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Pediatric Development Center, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- Rockville, MD
- NPI 1316357981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1801367602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 CROFTON VALLEY DR",
"city": "GAMBRILLS",
"state": "MD",
"postal_code": "210541650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12520 PROSPERITY DR STE 210",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209041684",
"telephone_number": "301-869-7505"
}
],
"practiceLocations": [
{
"address_1": "2001 Medical Pkwy",
"address_purpose": "LOCATION",
"city": "Annapolis",
"state": "MD",
"postal_code": "214013773",
"country_code": "US",
"telephone_number": "443-481-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THAYER",
"first_name": "MOLLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-06",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MD",
"license": "08452",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "08452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.