Jonas Rafael Molina, P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070014429 Issued in IL

Practice address

704 Goldenview Dr
Champaign, IL 61821-3430

Phone

(217) 359-0279

NPI assigned

Feb 24, 2010

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)

Enrolled

State licenses

Practice roles

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.

• Elite Care Providers PC

  • Physical Therapist
  • Champaign, IL
  • NPI 1356667489
  NPD (past) Authorized official

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1871815332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 GOLDENVIEW DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618213430",
            "telephone_number": "217-359-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 GOLDENVIEW DR",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618213430",
            "telephone_number": "217-359-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "JONAS",
        "middle_name": "RAFAEL",
        "name_prefix": "Mr.",
        "credential": "P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Moehn
• Othman Mahmoud Mohammad, MD
• Shadi Mohebi
• Kelly Mohr
• Jennifer Mokos, BS, EDM, CFCP
• Maria Antonia Molina
• Megan L Molina
• Tina M Molis, M.D.
• Lisa Moment
• Kristin Ruth Monahan, MA LCPC

• Physical Therapist in Champaign, IL
• Providers in Champaign, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.