KIMBERLY S MOLLO (NPI# 1730362450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730362450 |
| Entity Type | Individual |
| Full Name | KIMBERLY S MOLLO |
| Credential | OTD, OTR/L |
| Practice Address |
600 Germantown Pike Ste A Lafayette Hill PA 19444 |
| Mailing Address |
600 Germantown Pike Ste A Lafayette Hill PA 19444-1800 |
| Practice Telephone | 2152900817 |
| Mailing Telephone | 2152900817 |
| Enumeration Date | 2007-12-17 |
| Last Update Date | 2019-06-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | U1-0001454 | DE | Other Service Providers |
| N | 174400000X | Specialist | 46TR00443400 | NJ | Other Service Providers |
| Y | 174400000X | Specialist | OC010410 | PA | Other Service Providers |
| N | 225XM0800X |
Occupational Therapist Specialization: Mental Health |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | OCCUPATIONAL THERAPY LICENSURE | OC010410 | 01 |
| NY | NEW YORK LICENSE | 022381 | 01 |
| DE | DELAWARE LICENSURE | U1-0001454 | 01 |
| NJ | OCCUPATIONAL THERAPY LICENSURE | 46TR00443400 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12 W Windermere Ter, Lansdowne, PA 190502107 | 2152900817 |
| Street Address |
600 GERMANTOWN PIKE STE A |
| City | LAFAYETTE HILL |
| State | PA |
| Zip Code | 19444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437787637 | Nancy Roberts Willis | Social Worker | The Growth and Recovery Center, 452 Germantown Pike, Lafayette Hill, PA 19444 | 2020-04-01 |
| 1093284333 | Anitha Rachel Jones | Registered Nurse | 110 Andorra Glen Court, Lafayette Hill, PA 19444 | 2018-11-15 |
| 1609399328 | Stephanie Barrie | Behavioral Analyst | 16 Pin Oak Court, Lafayette Hill, PA 19444 | 2017-07-25 |
| 1013282862 | Lice Lifters | Clinic/Center | 484 Germantown Pike, Lafayette Hill, PA 19444 | 2012-03-13 |
| 1740505155 | Michele J. Palos-samsi | Physician Assistant | 661 Ridge Pike, Lafayette Hill, PA 19444 | 2010-03-30 |
| 1619102217 | Amy Acquaviva | Speech-Language Pathologist | 2322 N Gilinger Rd, Lafayette Hill, PA 19444 | 2009-05-27 |
| 1578740114 | Veena Srinath Devarakonda | Internal Medicine | 9317 Eagleview Drive, Lafayette Hill, PA 19444 | 2008-01-25 |
| 1689752099 | David H Bower | Dentist | 3000 Joshua Rd, Lafayette Hill, PA 19444 | 2006-11-02 |
| 1508941006 | Donald Joseph Mittica | Chiropractor | 2 Scarlet Oak Drive, Lafayette Hill, PA 19444 | 2006-10-25 |
| 1558442921 | Varsha Gogate-bhuyan | Dentist | 400r East Germantown Pike, Lafayette Hill, PA 19444 | 2006-10-18 |
| Find all providers in zip 19444 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063627925 | Lafayette Eye Associates, P.C. | Specialist | 413 Germantown Pike, Suite 100, Lafayette Hill, PA 19444-1816 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346863909 | Courtney Romain-lopez | Specialist | 301 Lenape Trl, Allentown, PA 18104-8531 | 2020-05-18 |
| 1235751116 | Steven Charles Snyder | Specialist | 119 Boyd Hollow Ln, Spring Mills, PA 16875-7812 | 2020-05-13 |
| 1083236582 | Chelsea Meadows | Specialist | 693 Topaz Dr, Lancaster, PA 17603-5864 | 2020-05-07 |
| 1982224655 | Eric Rickin Md LLC | Specialist | 102 Lexington Ave Ste 2, Aspinwall, PA 15215-3257 | 2020-04-22 |
| 1134748510 | Beaver County Regenerative Wellness Centers PC | Specialist | 3582 Brodhead Rd Ste 108, Monaca, PA 15061-3142 | 2020-04-15 |
| 1780203414 | Essence Allen-presley | Specialist | 252 Melrose Ave, Lansdowne, PA 19050-2532 | 2020-04-13 |
| 1174156012 | Sade Yolanda Davis | Specialist | 2414 N Garnet St, Philadelphia, PA 19132-3725 | 2020-02-19 |
| 1487285094 | Kim O'toole | Specialist | 105 Hay Rd, Milford, PA 18337-9020 | 2020-02-01 |
| 1437789740 | Kate Beer | Specialist | 3357 W 43rd St, Erie, PA 16506-4233 | 2020-01-26 |
| 1346888690 | Colleen Ruddy | Specialist | 205 Glenburn Rd, Clarks Green, PA 18411-2534 | 2019-12-17 |
| Find all providers with the same taxonomy | ||||
| City | LAFAYETTE HILL |
| Zip Code | 19444 |
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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.