Molina Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MOLINA PHYSICAL THERAPY INC

Practice address

11639 Creekstone LN
San Diego, CA 92128-6338

Phone

(858) 344-4989

NPI assigned

Sep 16, 2021

Organization subpart

No

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

Authorized official

Name

Jason Molina, DPTNPI 1497195770

Title

Owner

Phone

(858) 344-4989

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Raymond Molina, DPT

  • Physical Therapist
  • San Diego, CA
  • NPI 1497195770
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660262400000",
    "number": "1891465217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11639 CREEKSTONE LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921286338",
            "telephone_number": "858-344-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11639 CREEKSTONE LN",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921286338",
            "telephone_number": "858-344-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLINA PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-344-4989",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molecular Imaging Sorrento Valley, LLC
• John Paul Molenaar, MA, F-AAA
• Rene John Molenkamp, LPCC
• Darcy Denise Molett
• Sophia Karan Molina Martinez
• Halley Marie Molina-Yepsen
• Adriana Molina, PH.D
• Alisa Katharine Molina, OD
• Alvin Pelaez Molina
• Beatriz Fernandez Molina

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.