Molly Willson
Individual provider Active NPI Occupational Therapist · Belmont, NY
NPI 1942672076 · NPPES record last updated Oct 28, 2015
Key facts
- NPI
- 1942672076
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 019754 (NY)
- Practice address
- 4559 Rogers Rd
Belmont, NY 14813-9512 - Phone
- (585) 230-2904
- NPI assigned
- Oct 28, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019754 | NY | MD | Psychologist |
| 10044 | NC | MD | Sports Physical Therapist |
| 0119006409 | VA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 10044 | NC | |
| Occupational Therapist | 225X00000X | 0119006409 | VA | |
| Occupational Therapist | 225X00000X | 019754 | NY | Yes |
Addresses
Primary practice location
4559 Rogers Rd
Belmont, NY 14813-9512
Mailing address
4559 Rogers Rd
Belmont, NY 14813-9512
Phone (585) 230-2904
Other providers in Belmont, NY
- The Memorial Hospital of William F. and Gertrude F. Jones, Inc.
- Aprille Katie Truax
- Joelle Vanetten
- Cindy Watson
- Wendy Wenslow
All providers in Belmont, NY · Occupational Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.