| Mollie L Newman, ATC, PT, DPT | |
|
7735 State Route 45, Lisbon, OH 44432-8342 | |
| (330) 424-9033 | |
| (330) 424-9053 |
| Full Name | Mollie L Newman |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 7735 State Route 45, Lisbon, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316347156 | NPI | - | NPPES |
| 0447682 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT018822 (Ohio) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | AT005510 (Ohio) | Secondary |
| Provider Name | Triad Health Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588925457 PECOS PAC ID: 9032367917 Enrollment ID: O20120918000787 |
| Mailing Address | Practice Location Address |
|---|---|
| Mollie L Newman, ATC, PT, DPT 912 E Lincolnway, Minerva, OH 44657-1214 Ph: (330) 868-4362 | Mollie L Newman, ATC, PT, DPT 7735 State Route 45, Lisbon, OH 44432-8342 Ph: (330) 424-9033 |
Morgan Ucchino Kelley, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 38720 Saltwell Rd, Lisbon, OH 44432 Phone: 330-424-9591 | |
Deanna Griswold, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 38720 Saltwell Rd, Lisbon, OH 44432 Phone: 330-424-9591 | |
Rachel Badway, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 38720 Saltwell Rd, Lisbon, OH 44432 Phone: 330-424-9591 | |
Excel Physical Therapy, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7735 State Route 45, Suite E, Lisbon, OH 44432 Phone: 330-424-9033 Fax: 330-424-9053 |