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MOLLY DEISROTH-KIM MS
NPI 1427323625
Clinical Exercise Physiologist in Waltham, MA

Active since March 20, 2012
40 2ND AVE, SUITE 510, WALTHAM, MA 02451(781) 487-6103 Get Directions Write a Review

NPPES record last updated: March 20, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Molly Deisroth-kim Ms NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOLLY DEISROTH-KIM MS (NPI 1427323625) is an individual clinical exercise physiologist provider in Waltham, Massachusetts, licensed in Indiana (127683) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1427323625
Entity TypeIndividualFemale
Primary Taxonomy224Y00000X
Provider Legal NameMOLLY DEISROTH-KIMCredential: MS
Location Address40 2ND AVE, SUITE 510Waltham, MA 02451-1132
Mailing Address20 Green WayWayland, MA 01778-2626 · (508) 358-4435
Phone(781) 487-6103
Sole ProprietorNo
Enumeration DateMarch 20, 2012
✔ NPI 1427323625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Exercise PhysiologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Y00000X
License✔ Licensed in IN · 127683
Definition

A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders.

40 2ND AVE, Waltham, MA 02451
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ABDUL CADER ASMAL MD PHD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
40 2ND AVE, STE 400
WALTHAM, MA 02451
Middlesex County (781) 522-9000
DR. BETH ANN MCCABE MD
Pediatrics
40 2ND AVE, SUITE 400
WALTHAM, MA 02451
Middlesex County (781) 522-9000
DR. CAREY MICHELE YORK BEST MD
Obstetrics & Gynecology
40 2ND AVE, STE 400
WALTHAM, MA 02451
Middlesex County (781) 697-2000
DR. JONATHAN PHILIP WINICKOFF MD MPH
Pediatrics
40 2ND AVE, STE 400 MASS GENERAL WEST MEDICAL GROUP WALTHAM
WALTHAM, MA 02451
Middlesex County (781) 522-9000
DR. SUSAN R MANEA M.D.
Medical Genetics, Ph.D. Medical Genetics
40 2ND AVE
WALTHAM, MA 02451
Middlesex County (781) 466-9555
ANN MCWALTER PT
Physical Therapist
40 2ND AVE
WALTHAM, MA 02451
Middlesex County (781) 487-3800
THE FEINGOLD CENTER FOR CHILDREN
Medical Genetics, Ph.D. Medical Genetics
40 2ND AVE
WALTHAM, MA 02451
Middlesex County (781) 466-9555
MRS. ELIZABETH MARY COLE PT CLT-LANA
Physical Therapist
40 2ND AVE
WALTHAM, MA 02451
Middlesex County (781) 487-3821

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Molly Deisroth-kim's NPI number?

The NPI number for Molly Deisroth-kim is 1427323625. It was assigned to this individual provider in the NPPES registry on March 20, 2012.

Where is Molly Deisroth-kim located?

Molly Deisroth-kim practices at 40 2nd Ave Suite 510, Waltham, MA 02451. The listed phone number is (781) 487-6103.

What is Molly Deisroth-kim's specialty?

The primary specialty registered for this NPI is Clinical Exercise Physiologist with taxonomy code 224Y00000X.

When was this NPI record last updated?

The NPPES record for Molly Deisroth-kim was last updated on March 20, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.