Individual provider Active NPI

Rylie Othic, DPT

  • Physical Therapist
  • Knob Noster, MO
National Provider Identifier
1629993704
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2026024797 Issued in MO
Practice address
106 E Lucas St
Knob Noster, MO 65336-1134
Phone
(660) 563-9800
NPI assigned
Aug 10, 2026
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 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 2026024797 MO Primary

Addresses

Primary practice location

106 E Lucas St
Knob Noster, MO 65336-1134

Mailing address

106 E Lucas St
Knob Noster, MO 65336-1134
Phone (660) 563-9800

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

State licenses

LicenseStateTypeSpecialty
2026024797MOMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Knob Noster Physical Therapy, LLC Physical Therapist PastSince Apr 17, 2020 Accepting new patients

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, 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": "1786320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1629993704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E LUCAS ST",
            "city": "KNOB NOSTER",
            "state": "MO",
            "postal_code": "653361134",
            "telephone_number": "660-563-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E LUCAS ST",
            "city": "KNOB NOSTER",
            "state": "MO",
            "postal_code": "653361134",
            "telephone_number": "660-563-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTHIC",
        "first_name": "RYLIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2026024797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knob Noster, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.