Molly Margaret Anderson, DPT
Individual provider Active NPI Pediatric Physical Therapist · Rapid City, SD
NPI 1982908968 · NPPES record last updated Aug 12, 2013
Key facts
- NPI
- 1982908968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Physical Therapist 2251P0200X
- License
- 1185907 (TX)
- Practice address
- 4033 Valley West Dr
Rapid City, SD 57702-3158 - Phone
- (319) 215-1996
- NPI assigned
- Jan 5, 2011
- 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 |
|---|---|---|---|
| 1185907 | TX | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1185907 | TX | |
| Pediatric Physical Therapist | 2251P0200X | 1185907 | TX | Yes |
Addresses
Primary practice location
4033 Valley West Dr
Rapid City, SD 57702-3158
Mailing address
4033 Valley West Dr
Rapid City, SD 57702-3158
Phone (319) 215-1996
Other providers in Rapid City, SD
- Karl D. Anderson
- Kendall Duane Anderson
- Kurt D Anderson
- Margaret Anderson
- Megan Mae Anderson
- Nicholas R Anderson
- Sabrena L Anderson
- Samson Wayne Anderson
- Sonya D Anderson
- Stacey Jo Anderson
All providers in Rapid City, SD · Pediatric Physical Therapist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2013. 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.