Active NPI
Joyce Molag, PT
- Physical Therapist
- Atwater, CA
National Provider Identifier
1982987129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT35867
- Practice address
- 1675 Shaffer Rd
Atwater, CA 95301-4456 - Phone
- (209) 357-5121
- Fax
- (209) 356-2487
- NPI assigned
- Sep 23, 2011
- Sex
- Female
- Sole proprietor
- No
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 | PT35867 | CA | Primary |
Addresses
Primary practice location
1675 Shaffer Rd
Atwater, CA 95301-4456
Mailing address
11310 N Via Trevisio Way
Fresno, CA 93730-8804
Phone (209) 357-5121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT35867 | Other | CA | PT 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
| License | State | Type | Specialty |
|---|---|---|---|
| PT35867 | CA | MD | Licensed Psychiatric Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1982987129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11310 N VIA TREVISIO WAY",
"city": "FRESNO",
"state": "CA",
"postal_code": "937308804",
"telephone_number": "209-357-5121",
"fax_number": "209-356-2487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 SHAFFER RD",
"city": "ATWATER",
"state": "CA",
"postal_code": "953014456",
"telephone_number": "209-357-5121",
"fax_number": "209-356-2487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLAG",
"first_name": "JOYCE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-23",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT35867",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "PT35867",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atwater, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.