Active NPI
Molley Ann Newsome
- Physical Therapist
- Cameron, MO
National Provider Identifier
1972991297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2012038363
- Practice address
- 801 Euclid Ave
Cameron, MO 64429-2003 - Phone
- (816) 632-7254
- NPI assigned
- Jan 8, 2015
- Sex
- Female
- 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 | 2012038363 | MO | Primary |
Addresses
Primary practice location
801 Euclid Ave
Cameron, MO 64429-2003
Mailing address
1714 Regency Dr
Kearney, MO 64060-8432
Phone (816) 309-7014
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2012038363 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420675200000",
"number": "1972991297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1714 REGENCY DR",
"city": "KEARNEY",
"state": "MO",
"postal_code": "640608432",
"telephone_number": "816-309-7014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 EUCLID AVE",
"city": "CAMERON",
"state": "MO",
"postal_code": "644292003",
"telephone_number": "816-632-7254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWSOME",
"first_name": "MOLLEY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-08",
"last_updated": "2015-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2012038363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cameron, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.