Molly Sidleck, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

407 E Churchville Rd Ste 102
Bel Air, MD 21014-3846

Phone

(410) 638-5525

NPI assigned

Feb 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gold Medal Physical Therapy LLCGroup PAC ID 6800797911, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gold Medal Physical Therapy LLC

  • Physical Therapist
  • Bel Air, MD
  • NPI 1154395226
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1821743097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E CHURCHVILLE RD STE 102",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143846",
            "telephone_number": "410-638-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E CHURCHVILLE RD STE 102",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143846",
            "telephone_number": "410-638-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDLECK",
        "first_name": "MOLLY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sagar Jayant Shukla, PHARMD
• Allison Margaret Shultz, PHARMD.
• Maka Siamashvili, MD, MBA, PA-C
• Jamie Allison Sibel
• Laura Sibiski, LCPC
• Mikayla Siegel, LCSW-C
• Emma Siegert, M.S.
• Sightrite Medical MD LLC
• Joseph B Silberfarb, P.A.
• Megan Rae Silverman, LCSW-C

• Physical Therapist in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; 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.