Individual provider Active NPI

Molly Rae Pengra, PT, DPT

  • Physical Therapist
  • Rapid City, SD
National Provider Identifier
1487579868
Registry record updated Sep 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13518 Issued in SC
Practice address
18 E Kansas City St Ste 101
Rapid City, SD 57701-2950
Phone
(605) 348-9530
NPI assigned
Aug 12, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2026

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 13518 SC Primary

Addresses

Primary practice location

18 E Kansas City St Ste 101
Rapid City, SD 57701-2950

Mailing address

18 E Kansas City St Ste 101
Rapid City, SD 57701-2950
Phone (605) 348-9530

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1786492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789257600000",
    "number": "1487579868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 E KANSAS CITY ST STE 101",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012950",
            "telephone_number": "605-348-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 E KANSAS CITY ST STE 101",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012950",
            "telephone_number": "605-348-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENGRA",
        "first_name": "MOLLY",
        "middle_name": "RAE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-12",
        "last_updated": "2026-09-13",
        "certification_date": "2026-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "13518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2026; 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.