Active NPI
Alexander Dale Molen, PT DPT
- Physical Therapist
- Ashland, KY
National Provider Identifier
1962051771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- TP2019096
- Practice address
- 2700 Greenup Ave
Ashland, KY 41101-1953 - Phone
- (606) 324-0540
- Fax
- (606) 324-0616
- NPI assigned
- Sep 5, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | TP2019096 | KY | Primary |
Addresses
Primary practice location
2700 Greenup Ave
Ashland, KY 41101-1953
Mailing address
2700 Greenup Ave
Ashland, KY 41101-1953
Phone (606) 324-0540
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP2019096 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1962051771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 GREENUP AVE",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411011953",
"telephone_number": "606-324-0540",
"fax_number": "606-324-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 GREENUP AVE",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411011953",
"telephone_number": "606-324-0540",
"fax_number": "606-324-0616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLEN",
"first_name": "ALEXANDER",
"middle_name": "DALE",
"credential": "PT DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-05",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "KY",
"license": "TP2019096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.