Individual provider Active NPI

Jill O Rechtien, PT, DPT

  • Physical Therapist
  • Washington, MO
National Provider Identifier
1336754183
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0016983 Issued in CO
Practice address
1650 High St
Washington, MO 63090-4365
Phone
(877) 407-3422
NPI assigned
Sep 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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 PTL.0016983 CO Primary

Addresses

Primary practice location

1650 High St
Washington, MO 63090-4365

Mailing address

3255 S Wadsworth Blvd Ste a-2
Lakewood, CO 80227-5026
Phone (303) 993-4438

Other practice location 1

10199 Woodfield Ln
Saint Louis, MO 63132-2922
Phone (877) 407-3422

Other practice location 2

3255 S Wadsworth Blvd Ste A-2
Lakewood, CO 80227-5026
Phone (303) 993-4438

Other practice location 3

2751 W 120th Ave Ste 150
Westminster, CO 80234-2979
Phone (720) 583-2146

Other identifiers 1

IdentifierTypeStateIssuer
PTL.0016983OtherCOLICENSE NUMBER

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other FOX REHABILITATION SERVICES PT MO LLC
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler Other FOX REHABILITATION SERVICES PT MO LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210922003080 CO Practitioner - Physical Therapist in Private Practice 7012314701 Reassigns benefits to 1 organization
I20230804001275 MO Practitioner - Physical Therapist in Private Practice 7012314701 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0016983COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Rehabilitation Services PT Mo LLC Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Sep 17, 2021 Accepting new patients
Panorama Orthopedics and Spine Center PC CurrentSince Sep 17, 2021 Accepting new patients
Peak Rehabilitation of Denver LLC Physical Therapist PastSince Sep 1, 2020 Accepting new patients
Peak Rehabilitation of Denver LLC Physical Therapist PastSince Sep 1, 2020 Accepting new patients

Locations

660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321

3255 S Wadsworth Blvd
Ste A2
Lakewood, CO 80227
Phone (303) 993-4438

3330 Ehlmann Rd
Saint Charles, MO 63301
Phone (636) 205-1056

10199 Woodfield Ln
Saint Louis, MO 63132
Phone (314) 485-5845

1650 High St
Washington, MO 63090
Phone (636) 390-3290

7 Carnegie Plz
Cherry Hill, NJ 08003

Organizations & group practices 5

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": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1336754183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 S WADSWORTH BLVD STE A-2",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802275026",
            "telephone_number": "303-993-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HIGH ST",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904365",
            "telephone_number": "877-407-3422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10199 Woodfield Ln",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631322922",
            "country_code": "US",
            "telephone_number": "877-407-3422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3255 S Wadsworth Blvd Ste A-2",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802275026",
            "country_code": "US",
            "telephone_number": "303-993-4438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2751 W 120th Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "802342979",
            "country_code": "US",
            "telephone_number": "720-583-2146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RECHTIEN",
        "first_name": "JILL",
        "middle_name": "O",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0016983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PTL.0016983",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "FOX REHABILITATION SERVICES PT MO LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "1650 High St",
            "city": "Washington",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630904365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "FOX REHABILITATION SERVICES PT MO LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10199 Woodfield Ln",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631322922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.