Molly Telian, DPT
Physical Therapist in Park City, UT. Individual provider (NPI-1).
NPI number1194249201
StatusActive
Last updated in NPPESDec 17, 2018
Details
- NPI
- 1194249201
- Entity type
- Individual (NPI-1)
- Name
- Molly Telian
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2017
- Last updated
- Dec 17, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
900 Round Valley DrPark City, UT 84060-7552
Phone 435-658-7350
Mailing address
900 Round Valley DrPark City, UT 84060-7552
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 79 Physical Therapist providers in Park City · All 891 providers in Park City
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