SAMUEL MOLLOY (PT, DPT) – Physical Therapist, NPI 1063398519

SAMUEL MOLLOY (PT, DPT) is a healthcare provider. based in Acton, Massachusetts. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. PTL88550 (MA). The NPI Number for SAMUEL MOLLOY (PT, DPT) is 1063398519

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
SAMUEL MOLLOY (PT, DPT)
NPI
1063398519
Phone
(978) 263-0007
Address
411 MASS AVE STE 302
Enumeration Date
12 August 2025
Last Update Date
12 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9782630007
Graduation Year
2025 (1 year ago)
PAC ID
1052810785
Group Practice PAC ID
0042392052
Professional Enrollment ID
I20250819002090
Address ID
MA017492047HU34XXXEXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

2,873 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MA

Provider Addresses for SAMUEL MOLLOY (PT, DPT)

  • 411 MASS AVE STE 302

    ACTON, MA 017203739

    Phone: (978) 263-0007

    Fax: (978) 263-0014

    Type: Mailing

  • 34 HIGHLAND CMN E

    HUDSON, MA 017492047

    Phone: (978) 263-0007

    Fax: (978) 263-0014

    Type: Location

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: 2025-08-19

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
I20250819002090IPhysical Therapist In Private PracticeMATBD

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 01720)

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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: 0042392052View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeNJ
Physical Therapist In Private PracticeMA
-MA
Physical Therapist In Private PracticeMA
-MA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeMA

Reviews

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Frequently asked questions

What number should I use to identify SAMUEL MOLLOY (PT, DPT) for billing?
Administrative and clinical systems typically use NPI 1063398519 for SAMUEL MOLLOY (PT, DPT).
Should I treat SAMUEL MOLLOY (PT, DPT) as an active provider?
Patients and plans typically see SAMUEL MOLLOY (PT, DPT) as active in the national extract.
What does the directory say SAMUEL MOLLOY (PT, DPT) does?
Insurance directories may phrase it differently, but here SAMUEL MOLLOY (PT, DPT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit SAMUEL MOLLOY (PT, DPT) in Acton, Massachusetts?
For routing, start with Acton, Massachusetts for SAMUEL MOLLOY (PT, DPT), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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