Individual provider Active NPI

Rachel Nicole Willard, DPT

  • Physical Therapist
  • Fort Collins, CO
National Provider Identifier
1205344884
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0015337 Issued in CO
Practice address
702 W Drake Rd Ste a
Fort Collins, CO 80526-5555
Phone
(970) 416-8342
Fax
(970) 416-8344
NPI assigned
Jan 17, 2018
Last updated
Jan 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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 0015337 CO Primary

Addresses

Primary practice location

702 W Drake Rd Ste a
Fort Collins, CO 80526-5555

Mailing address

702 W Drake Rd
Building E Suite a
Fort Collins, CO 80526-5555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210707002455 MT Practitioner - Physical Therapist in Private Practice 4789930835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Colorado School of Medicine, Denver, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florence Therapy and WellnessGroup PAC ID 0547337321, 12 clinicians

Practice addresses (Care Compare)

5529 Old US Hwy 93
Florence, MT 59833-6564
Phone (406) 273-4246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0015337COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Florence Therapy and Wellness Physical Therapist CurrentSince Jul 20, 2021 Accepting new patients
Florence Physical Therapy Inc PastSince Jul 20, 2021 Accepting new patients

Locations

5529 Old US Highway 93
Florence, MT 59833
Phone (406) 273-4246

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1205344884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 W DRAKE RD",
            "address_2": "BUILDING E SUITE A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 W DRAKE RD STE A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805265555",
            "telephone_number": "970-416-8342",
            "fax_number": "970-416-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLARD",
        "first_name": "RACHEL",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0015337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.