Individual provider Active NPI

Molly Rachow, PT

  • Physical Therapist
  • Liberal, KS
National Provider Identifier
1629471115
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-04977 Issued in KS
Practice address
111 Lilac Dr
Liberal, KS 67901
Phone
(620) 644-9110
Fax
(620) 644-9220
NPI assigned
Sep 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 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 11-04977 KS Primary

Addresses

Primary practice location

111 Lilac Dr
Liberal, KS 67901

Mailing address

111 Lilac Dr
Liberal, KS 67901-2058
Phone (620) 644-9110

Other practice location 1

34637 Airline Rd
Pauls Valley, OK 73075-8583
Phone (405) 238-7000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180822002048 KS Practitioner - Physical Therapist in Private Practice 3476801325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 Lilac Dr
Liberal, KS 67901-2058
Phone (620) 644-9110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11-04977KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rachow Physical Therapy LLC Physical Therapist CurrentSince Feb 5, 2018 Accepting new patients

Locations

111 Lilac Dr
Liberal, KS 67901
Phone (620) 624-0196

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": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1629471115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 LILAC DR",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012058",
            "telephone_number": "620-644-9110",
            "fax_number": "620-644-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LILAC DR",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "67901",
            "telephone_number": "620-644-9110",
            "fax_number": "620-644-9220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34637 Airline Rd",
            "address_purpose": "LOCATION",
            "city": "Pauls Valley",
            "state": "OK",
            "postal_code": "730758583",
            "country_code": "US",
            "telephone_number": "405-238-7000",
            "fax_number": "405-238-7005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RACHOW",
        "first_name": "MOLLY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-29",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-04977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liberal, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.