Individual provider Active NPI

Natalie Rose Mologne, DPT

  • Physical Therapist
  • Saratoga, CA
National Provider Identifier
1851965768
Registry record updated Jul 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
300160 Issued in CA
Practice address
12980 Saratoga Ave
Saratoga, CA 95070-4659
Phone
(408) 973-7700
NPI assigned
May 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 300160 CA Primary

Addresses

Primary practice location

12980 Saratoga Ave
Saratoga, CA 95070-4659

Mailing address

12980 Saratoga Ave
Saratoga, CA 95070-4659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210607002320 CA Practitioner - Physical Therapist in Private Practice 8729488168 Reassigns benefits to 1 organization
I20230131003131 MN Practitioner - Physical Therapist in Private Practice 8729488168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minnesota Luna Care Physical Therapy LLCGroup PAC ID 6103230172, 36 clinicians

Practice addresses (Care Compare)

428 Minnesota St
Suite 500
Saint Paul, MN 55101-2666
Phone (866) 525-3175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optm Physical Therapy of Saratoga, Inc. Physical Therapist CurrentSince Jul 1, 2021 Accepting new patients
Minnesota Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jan 18, 2023 Accepting new patients
Naeem a. Rana, M.D. a Professional Corporation PastSince May 16, 2021 Accepting new patients

Locations

12930 Saratoga Ave
Ste B5
Saratoga, CA 95070
Phone (408) 763-4905

12980 Saratoga Ave
Saratoga, CA 95070
Phone (408) 725-0286

428 Minnesota St
Ste 500
Saint Paul, MN 55101
Phone (612) 662-9604

428 Minnesota St
Saint Paul, MN 55101

Organizations & group practices 3

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": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627171200000",
    "number": "1851965768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12980 SARATOGA AVE",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12980 SARATOGA AVE",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704659",
            "telephone_number": "408-973-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLOGNE",
        "first_name": "NATALIE",
        "middle_name": "ROSE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-07-25",
        "certification_date": "2021-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2021; 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.