Individual provider Active NPI

Rachael Fletcher, PT, DPT, ATC

  • Physical Therapist
  • Fulton, MO
National Provider Identifier
1689120933
Registry record updated Oct 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
850 W Hospital Dr
Suite a
Fulton, MO 65251
Phone
(573) 592-6592
NPI assigned
Aug 28, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Athletic Trainer 2255A2300X

Addresses

Primary practice location

850 W Hospital Dr
Suite a
Fulton, MO 65251

Mailing address

1739 Elm CT
Ste 205206
Jefferson City, MO 65101-4303
Phone (573) 592-6592

Other names 1

  • Rachael Schmidt Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190614000058 MO Practitioner - Physical Therapist in Private Practice 0244563757 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Physical Therapy, LLCGroup PAC ID 7416283544, 3 clinicians

Practice addresses (Care Compare)

417 E Urbandale Dr
Moberly, MO 65270-1936
Phone (660) 676-8187

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Physical Therapy, LLC Physical Therapist CurrentSince Dec 12, 2023 Accepting new patients
Outbound Rehabilitation & Wellness LLC Physical Therapist CurrentSince Jun 4, 2019 Accepting new patients

Locations

1739 Elm Ct
Ste 205206
Jefferson Cty, MO 65101
Phone (573) 606-7100

417 E Urbandale Dr
Moberly, MO 65270
Phone (660) 372-1417

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570579200000",
    "number": "1689120933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 ELM CT",
            "address_2": "STE 205206",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651014303",
            "telephone_number": "573-592-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W HOSPITAL DR",
            "address_2": "SUITE A",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "65251",
            "telephone_number": "573-592-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETCHER",
        "first_name": "RACHAEL",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-28",
        "last_updated": "2019-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "SCHMIDT",
            "credential": "PT, DPT, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fulton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; 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.