Individual provider Active NPI

Molly Fenimore

  • Orthopedic Physical Therapist
  • Villanova, PA
National Provider Identifier
1861047920
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT027867 Issued in PA
Practice address
734 E Lancaster Ave
Villanova, PA 19085-1325
Phone
(610) 964-1700
NPI assigned
Aug 6, 2019
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT027867 PA Primary

Addresses

Primary practice location

734 E Lancaster Ave
Villanova, PA 19085-1325

Mailing address

475 Allendale Rd Ste 206
King of Prussia, PA 19406-1495
Phone (610) 270-0370

Other identifiers 1

IdentifierTypeStateIssuer
182986MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191105000976 PA Practitioner - Physical Therapist in Private Practice 8921330317 Reassigns benefits to 3 organizations
I20250411002778 AZ Practitioner - Physical Therapist in Private Practice 8921330317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Temple University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1500 S Dobson Rd
Suite 200
Mesa, AZ 85202-4724
Phone (866) 974-2673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT027867PAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Orthopedic Research and Education LLC CurrentSince May 12, 2025 Accepting new patients
Progress Physical Therapy LLC Physical Therapist CurrentSince Jul 27, 2022 Accepting new patients
Center for Orthopedic Research and Education, LLC Physical Therapist CurrentSince May 12, 2025 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Physical Therapist CurrentSince Sep 3, 2019 Accepting new patients
Foot & Ankle Physical Therapy, LLC Physical Therapist CurrentSince Apr 1, 2021 Accepting new patients
Neurosurgical Care, LLC PastSince Apr 1, 2021 Accepting new patients

Locations

3591 S Mercy Rd
Ste 204
Gilbert, AZ 85297
Phone (869) 742-6736

1500 S Dobson Rd
Ste 200
Mesa, AZ 85202
Phone (480) 833-5437

1500 S Dobson Rd
Ste 201
Mesa, AZ 85202
Phone (623) 537-5661

18444 N 25th Ave
Ste 220
Phoenix, AZ 85023
Phone (669) 742-6738

18444 N 25th Ave
Ste 310
Phoenix, AZ 85023
Phone (623) 241-8706

9321 W Thomas Rd
Ste 305
Phoenix, AZ 85037

10494 W Thunderbird Blvd
Ste 102
Sun City, AZ 85351
Phone (623) 975-8311

13995 W Statler Blvd
Ste 165
Surprise, AZ 85374
Phone (623) 537-5661

1175 Lancaster Ave
Berwyn, PA 19312
Phone (610) 651-8282

931 E Haverford Rd
Fl 3
Bryn Mawr, PA 19010
Phone (610) 557-0590

475 Allendale Rd
Ste 206
Kng of Prussa, PA 19406
Phone (610) 270-0370

734 E Lancaster Ave
Villanova, PA 19085
Phone (610) 254-8001

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EACEAA
  • Direct secure messaging: molly.fenimore.1@22724.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1861047920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 ALLENDALE RD STE 206",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061495",
            "telephone_number": "610-270-0370",
            "fax_number": "610-270-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 E LANCASTER AVE",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851325",
            "telephone_number": "610-964-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENIMORE",
        "first_name": "MOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "PT027867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182986",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Villanova, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.