Individual provider Active NPI

Molly Nolan-Jones, MS OTR/L

  • Pediatric Occupational Therapist
  • Renton, WA
National Provider Identifier
1861770273
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT60013336 Issued in WA
Practice address
1119 SW 7TH St
Renton, WA 98057-5215
Phone
(206) 378-6343
Fax
(206) 764-8273
NPI assigned
Aug 2, 2011
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT60013336 WA Primary

Addresses

Primary practice location

1119 SW 7TH St
Renton, WA 98057-5215

Mailing address

1119 SW 7TH St
Renton, WA 98057-5215
Phone (206) 378-6343

Other names 1

  • Molly Nolan Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT60013336WAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Center - Child Development Program PastSince Jun 12, 2022 Accepting new patients
Northwest Center Services PastSince Feb 1, 2020 Accepting new patients

Organizations & group practices 2

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": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1861770273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 SW 7TH ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575215",
            "telephone_number": "206-378-6343",
            "fax_number": "206-764-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 SW 7TH ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575215",
            "telephone_number": "206-378-6343",
            "fax_number": "206-764-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN-JONES",
        "first_name": "MOLLY",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "WA",
            "license": "OT60013336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "NOLAN",
            "credential": "MS OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.