Individual provider Active NPI

Rachel L Patton, DPT

  • Physical Therapist
  • Shorewood, WI
National Provider Identifier
1083167381
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
16542 Issued in WI
Practice address
2420 E Capitol Dr Apt 212
Shorewood, WI 53211-2178
Phone
(616) 745-3720
NPI assigned
Aug 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05012198A IN
Physical Therapist 225100000X 16542 WI Primary

Addresses

Primary practice location

2420 E Capitol Dr Apt 212
Shorewood, WI 53211-2178

Mailing address

2420 E Capitol Dr Apt 212
Shorewood, WI 53211-2178
Phone (616) 745-3720

Other practice location 1

2121 Willow St
Vincennes, IN 47591-5355
Phone (812) 882-1141

Other practice location 2

300 E 109th Ave
Crown Point, IN 46307-8693
Phone (219) 662-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16542WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Move Well Physical Therapy LLC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1083167381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 E CAPITOL DR APT 212",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112178",
            "telephone_number": "616-745-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 E CAPITOL DR APT 212",
            "city": "SHOREWOOD",
            "state": "WI",
            "postal_code": "532112178",
            "telephone_number": "616-745-3720"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 Willow St",
            "address_purpose": "LOCATION",
            "city": "Vincennes",
            "state": "IN",
            "postal_code": "475915355",
            "country_code": "US",
            "telephone_number": "812-882-1141",
            "fax_number": "812-255-0045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 E 109th Ave",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463078693",
            "country_code": "US",
            "telephone_number": "219-662-2400",
            "fax_number": "219-662-2450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTON",
        "first_name": "RACHEL",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-03",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05012198A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "16542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shorewood, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.