Organization Active NPI

Rachow Physical Therapy LLC

Doing business as Rachow Physical Therapy

  • Physical Therapy Clinic/Center
  • Liberal, KS
National Provider Identifier
1700389475
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
11-04977 Issued in KS
Legal business name
RACHOW PHYSICAL THERAPY LLC
Doing business as
Rachow Physical Therapy
Practice address
111 Lilac Dr
Liberal, KS 67901-2058
Phone
(715) 553-0334
NPI assigned
Mar 8, 2018
Last updated
May 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Authorized official

Name
Molly M Rachow, DPTNPI 1629471115
Title
Owner/Physical Therapist
Phone
(620) 644-9110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 11-04977 KS Primary

Addresses

Primary practice location

111 Lilac Dr
Liberal, KS 67901-2058

Mailing address

111 Lilac Dr
Liberal, KS 67901-2058

Other names 1

  • Rachow Physical Therapy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180808003221 KS Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5395093231 Receives reassigned benefits from 1 practitioner
Practice locations: Liberal, KS

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525219200000",
    "number": "1700389475",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LILAC DR",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679012058",
            "telephone_number": "715-553-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACHOW PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-05-02",
        "status": "A",
        "authorized_official_last_name": "RACHOW",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "620-644-9110",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "KS",
            "license": "11-04977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rachow Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 2, 2018; 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.