MOLLY MONRO – Occupational Therapist, NPI 1205664679

MOLLY MONRO is a healthcare provider. based in Anchorage, Alaska. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 225885 (AK). The NPI Number for MOLLY MONRO is 1205664679

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MOLLY MONRO
NPI
1205664679
Phone
(907) 563-8318
Address
4015 LAKE OTIS PKWY, STE 200
Enumeration Date
25 July 2024
Last Update Date
25 July 2024

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9075638318
Graduation Year
2024 (2 years ago)
PAC ID
6608307913
Group Practice PAC ID
4284713231
Professional Enrollment ID
I20240926004039
Address ID
AK995033676AN1400XBLVD407
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience16
Completeness75
Years active:1State licenses:1Digital endpointsOther names

76 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in AK

Provider Addresses for MOLLY MONRO

  • 4015 LAKE OTIS PKWY, STE 200

    ANCHORAGE, AK 995085235

    Phone: (907) 563-8318

    Fax: (907) 563-3472

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240926004039IOccupational Therapist In Private PracticeAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99508)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4284713231View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeAK
Occupational Therapist In Private PracticeAK
Occupational Therapist In Private PracticeAK
Occupational Therapist In Private PracticeAK
Occupational Therapist In Private PracticeAK
Occupational Therapist In Private PracticeAK
Occupational Therapist In Private PracticeID
Occupational Therapist In Private PracticeAK

Reviews

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Frequently asked questions

Where can patients find MOLLY MONRO's NPI?
You can confirm MOLLY MONRO with NPI 1205664679; it appears in the national provider directory.
Is MOLLY MONRO's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MOLLY MONRO's specialty in plain language?
Clinically, the directory lists MOLLY MONRO with Occupational Therapist. Clinical services aligned with this taxonomy classification.
What location shows for MOLLY MONRO?
We surface Anchorage, Alaska for MOLLY MONRO based on available NPPES addresses.
Is MOLLY MONRO a real provider?
This page reflects official NPPES data for NPI 1205664679. Always confirm identity and privileges with the practice and licensing boards.

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