Individual provider Active NPI

Molly Nguyen

  • Physical Therapist
  • Puyallup, WA
National Provider Identifier
1801524905
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
61351635 Issued in WA
Practice address
11212 Sunrise Blvd E Ste 202
Puyallup, WA 98374-8847
Phone
(253) 435-0360
NPI assigned
Aug 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1365843 TX
Physical Therapist 225100000X 61351635 WA Primary

Addresses

Primary practice location

11212 Sunrise Blvd E Ste 202
Puyallup, WA 98374-8847

Mailing address

17460 Sawyer Way E
Tacoma, WA 98446-7802
Phone (425) 205-9024

Other identifiers 2

IdentifierTypeStateIssuer
61351635OtherWAPHYSICAL THERAPY LICENSE
1365843OtherTXPHYSICAL THERAPY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240805001603 WA Practitioner - Physical Therapist in Private Practice 4385029321 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Luna Care Physical Therapy LLCGroup PAC ID 7416283817, 161 clinicians

Practice addresses (Care Compare)

Bellevue, WA 98006
Phone (866) 525-3175

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.84
Improvement activities
40
Cost
70.51

Merit-based Incentive Payment System (MIPS)

Final score
86.73 of 100Reported as apm
Quality
73.46
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61351635WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Luna Care Physical Therapy LLC Physical Therapist CurrentSince Aug 15, 2024 Accepting new patients
Swedish Health Services Current Accepting new patients
King County Public Hospital District No. 2 Physical Therapist CurrentSince Aug 15, 2024 Accepting new patients
Swedish Health Services Physical Therapist CurrentSince Nov 15, 2024 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Select Physical Therapy Texas Limited Partnership Physical Therapist Past Accepting new patients

Locations

13555 SE 36th St
Ste 100
Bellevue, WA 98006

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

12040 NE 128th St
#10
Kirkland, WA 98034
Phone (206) 466-0369

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

800 5th Ave
Ste P100
Seattle, WA 98104
Phone (206) 320-2700

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1801524905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17460 SAWYER WAY E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984467802",
            "telephone_number": "425-205-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 SUNRISE BLVD E STE 202",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983748847",
            "telephone_number": "253-435-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1365843",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "61351635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "61351635",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "1365843",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.