Mollie Elizabeth Pathman, DPT, CSCS

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

P18997 Issued in NC

Practice address

3400 Westgate Dr Ste B14C
Durham, NC 27707-2696

Phone

(919) 943-9449

NPI assigned

Aug 29, 2019

Last updated

Sep 2, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Peak Rehab, LLC

  • Sports Physical Therapist
  • Durham, NC
  • NPI 1639949902
  NPD Authorized official
• Activedge Fitness and Sports Performance, Inc.

  • Orthopedic Physical Therapist
  • Durham, NC
  • NPI 1326474420
  NPD (past)

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1912555384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 BELLENDEN DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139283",
            "telephone_number": "919-943-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 WESTGATE DR STE B14C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072696",
            "telephone_number": "919-943-9449"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4221 Garrett Rd Ste 1-2",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277073467",
            "country_code": "US",
            "telephone_number": "919-493-1204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATHMAN",
        "first_name": "MOLLIE",
        "middle_name": "ELIZABETH",
        "credential": "DPT, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P18997",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NC",
            "license": "P18997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Patenaude, MS, CGC
• Robert W. Paterson, M.D.
• Liesl Marie Patetta, MD
• Aneesh Pathak, MD
• Hemang J Pathak, M.D.
• Pathway for People, Inc.
• Pathways Human Services of North Carolina, LLC (Clarvida)
• Pathways to Healing, PLLC
• Patiently Speaking, PLLC
• Mayura Patil

• Sports Physical Therapist in Durham, NC
• Providers in Durham, NC by specialty
• Sports Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.