MOLLY DEISROTH-KIM (NPI# 1427323625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427323625 |
| Entity Type | Individual |
| Full Name | MOLLY DEISROTH-KIM |
| Credential | MS |
| Practice Address |
40 2nd Ave Suite 510 Waltham MA 02451-1132 |
| Mailing Address |
20 Green Way Wayland MA 01778-2626 |
| Practice Telephone | 7814876103 |
| Mailing Telephone | 5083584435 |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Y00000X | Clinical Exercise Physiologist | 127683 | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
40 2ND AVE SUITE 510 |
| City | WALTHAM |
| State | MA |
| Zip Code | 02451-1132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336139021 | Leslie A Vensel | Internal Medicine | 40 2nd Ave, Suite 400, Waltham, MA 02451-1132 | 2005-10-25 |
| 1053850826 | Nicole Mcelhinney | Physical Therapist | 40 2nd Ave, Suite 360, Waltham, MA 02451-1132 | 2017-02-14 |
| 1255740320 | Usman T Akram | Podiatrist | 40 2nd Ave, Waltham, MA 02451 | 2014-08-04 |
| 1346665825 | Arthur Long | Physical Therapist | 40 2nd Ave, Waltham, MA 02451-1132 | 2014-02-20 |
| 1952669939 | Anna Louise Grosslein | Physical Therapist | 40 2nd Ave, Waltham, MA 02451-1132 | 2012-04-27 |
| 1396027330 | Linda M. Bresette | Nurse Practitioner | 40 2nd Ave, Waltham, MA 02451-1132 | 2011-09-15 |
| 1649419573 | Maureen L Waitt | Nurse Practitioner | 40 2nd Ave, Suite 170, Waltham, MA 02451-1132 | 2009-02-17 |
| 1811019250 | Allison Gaye Ritch | Dentist | 40 2nd Ave, Suite 500 Mass General West, Waltham, MA 02451-1132 | 2007-04-05 |
| 1821119736 | Christopher James Maguire | Dentist | 40 2nd Ave, Waltham, MA 02451-1132 | 2007-04-02 |
| 1922125699 | Casey E Hagan | Physical Therapist | 40 2nd Ave, Suite 360, Waltham, MA 02451-1132 | 2007-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719190 | Haeun Yang | Behavior Technician | 303 Wyman Street Suite 354, 344, 345, Waltham, MA 02451 | 2019-09-16 |
| 1982252599 | Sinclair Fashaw-braxton | Behavior Technician | 303 Wyman Street, Suite 354, 344, 345, Waltham, MA 02451 | 2019-08-27 |
| 1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
| 1760964118 | Elizabeth Boardman Harris | Social Worker | 60 Hickory Drive 4th Floor, Waltham, MA 02451 | 2018-09-02 |
| 1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
| 1962998013 | Leighann Teresa Healy | Behavior Technician | 303 Wyman Suite 300, Waltham, MA 02451 | 2018-07-02 |
| 1194234492 | Bruna Rossi Hoffman | Dentist | 12 Grant Place, Apt 1, Waltham, MA 02451 | 2017-09-29 |
| 1265959159 | Matthew C Page-shelton | Counselor | 2208 Stearns Hill Road, Waltham, MA 02451 | 2017-08-23 |
| 1306380837 | Sherri Lynn Duquette | Behavior Technician | 1430 Main Street, Waltham, MA 02451 | 2016-12-19 |
| 1649628728 | Keren Matveev | Family Medicine | 75 Third Avenue, First Floor, Waltham, MA 02451 | 2016-05-30 |
| Find all providers in zip 02451 | ||||
| Taxonomy Code | 224Y00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Clinical Exercise Physiologist |
| A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders. |
| Notes: Source: What is a Clinical Exercise Physiologist? Clinical Exercise Physiology Association (CEPA), CEPA Executive Board, 2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609126986 | Catherine Ann Mullooly | Clinical Exercise Physiologist | 80 Seminole Ave, Waltham, MA 02451-0829 | 2012-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235474651 | Christopher Parchmann | Clinical Exercise Physiologist | 114 Cross St, Somerville, MA 02145-4118 | 2012-12-11 |
| 1245516202 | Randi Lite | Clinical Exercise Physiologist | 300 The Fenway, Biology Dept, Boston, MA 02115-5820 | 2011-10-22 |
| 1134404973 | Jason B. Rose | Clinical Exercise Physiologist | 20 Halfway Pond Rd, Plymouth, MA 02360-3296 | 2011-10-12 |
| 1619578515 | Jon Esposito | Clinical Exercise Physiologist | 209 Columbus Ave, Boston, MA 02116-5109 | 2020-11-06 |
| 1851750202 | Stephanie Jeanne Thompson | Clinical Exercise Physiologist | 15 Kirkbride Dr, Danvers, MA 01923-6011 | 2016-02-14 |
| 1770900375 | Metrowest Medical Center | Clinical Exercise Physiologist | 115 Lincoln St, Framingham, MA 01702-6358 | 2014-03-21 |
| 1942559463 | Thomas Robert Black Jr. | Clinical Exercise Physiologist | 168 Denslow Rd, East Longmeadow, MA 01028-3188 | 2012-08-30 |
| 1043595614 | Kristine Ad Whaples | Clinical Exercise Physiologist | 275 Sandwich St, Plymouth, MA 02360-2183 | 2011-10-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.