Individual provider Active NPI

Molly Barnard

  • Physical Therapy Assistant
  • Sylvester, GA
National Provider Identifier
1922547751
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA001823 Issued in GA
Practice address
1009 W Franklin St
Sylvester, GA 31791-7174
Phone
(229) 821-3892
Fax
(229) 821-3893
NPI assigned
Feb 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA001823 GA Primary

Addresses

Primary practice location

1009 W Franklin St
Sylvester, GA 31791-7174

Mailing address

1009 W Franklin St
Sylvester, GA 31791-7174
Phone (229) 821-3892

Other identifiers 1

IdentifierTypeStateIssuer
PTA001823OtherGASTATE LICENSE

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

State licenses

LicenseStateTypeSpecialty
PTA001823GAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Putney Memorial Hospital Inc Past Accepting new patients
Southwest Georgia Therapy, Inc PastSince Feb 1, 2017 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1922547751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 W FRANKLIN ST",
            "city": "SYLVESTER",
            "state": "GA",
            "postal_code": "317917174",
            "telephone_number": "229-821-3892",
            "fax_number": "229-821-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 W FRANKLIN ST",
            "city": "SYLVESTER",
            "state": "GA",
            "postal_code": "317917174",
            "telephone_number": "229-821-3892",
            "fax_number": "229-821-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNARD",
        "first_name": "MOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA001823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PTA001823",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvester, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.