Individual provider Active NPI

Kristy Lee Molnar, LPTA

  • Physical Therapy Assistant
  • Willoughby, OH
National Provider Identifier
1841409828
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
4956 Issued in OH
Practice address
36855 Ridge Rd
Willoughby, OH 44094-4128
Phone
(440) 942-4342
Fax
(440) 942-4150
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 4956 OH Primary

Addresses

Primary practice location

36855 Ridge Rd
Willoughby, OH 44094-4128

Mailing address

835 N Lake St
Madison, OH 44057-2944
Phone (440) 428-0026

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

LicenseStateTypeSpecialty
4956OHMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841409828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 N LAKE ST",
            "city": "MADISON",
            "state": "OH",
            "postal_code": "440572944",
            "telephone_number": "440-428-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36855 RIDGE RD",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944128",
            "telephone_number": "440-942-4342",
            "fax_number": "440-942-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLNAR",
        "first_name": "KRISTY",
        "middle_name": "LEE",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "4956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.