Michael Robert Molitoris, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL010454 Issued in PA

Practice address

5416 E Lake Rd
Erie, PA 16511-1496

Phone

(814) 899-8600

NPI assigned

Apr 3, 2025

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1831993146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 BEVERLY DR",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5416 E LAKE RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165111496",
            "telephone_number": "814-899-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5416 E Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165111496",
            "country_code": "US",
            "telephone_number": "814-899-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLITORIS",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL010454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca L Mokris, D.ED., LAT
• Alex Moldovan, DPT, PT
• Amber Carlisse Mole
• Mackenzie Molesworth, RN
• Kenneth G. Molinero Jr., DO
• Yannick Maxime Momo Tefo, DPT, DPM
• Mason Anthony Monen, DO
• Mia Mong, PA-C
• Sabrina Lin Mong
• Virginia Kay Monroe, COTA

• Speech-Language Pathologist in Erie, PA
• Providers in Erie, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.