Individual provider Active NPI

Rachel Torgerson Koebel, PT, MPT, GCS

  • Physical Therapist
  • Milwaukee, WI
National Provider Identifier
1104840297
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6507024 Issued in WI
Practice address
2350 N Lake Dr
Milwaukee, WI 53211-4528
Phone
(414) 296-2554
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6507024 WI Primary

Addresses

Primary practice location

2350 N Lake Dr
Milwaukee, WI 53211-4528

Mailing address

721 Marshall Ave
S Milwaukee, WI 53172-2640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050120000408 WI Practitioner - Physical Therapist in Private Practice 3173572880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Medical Affiliates IncGroup PAC ID 5991606337, 86 clinicians

Practice addresses (Care Compare)

2350 N Lake Dr
Suite 501
Milwaukee, WI 53211-4528
Phone (414) 298-7171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6507024WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Medical Affiliates, Inc. CurrentSince Apr 1, 2023 Accepting new patients
In- Home Rehab Southeastern Physical Therapist Past Accepting new patients
Motion Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

7423 Solutions Ctr
Chicago, IL 60677

2350 N Lake Dr
Ste 305
Milwaukee, WI 53211
Phone (414) 298-7171

788 N Jefferson St
Ste 401
Milwaukee, WI 53202
Phone (414) 226-4020

2350 N Lake Dr
Ste 501
Milwaukee, WI 53211
Phone (414) 226-4020

788 N Jefferson St
Ste 300
Milwaukee, WI 53202
Phone (414) 272-8950

2350 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1556

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11299/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1104840297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 MARSHALL AVE",
            "city": "S MILWAUKEE",
            "state": "WI",
            "postal_code": "531722640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 N LAKE DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114528",
            "telephone_number": "414-296-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEBEL",
        "first_name": "RACHEL",
        "middle_name": "TORGERSON",
        "credential": "PT, MPT, GCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "6507024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.