Individual provider Active NPI

Chad L Molen, D.P.T., CSCS

  • Physical Therapist
  • Great Falls, MT
National Provider Identifier
1720237415
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2163 Issued in MT
Practice address
314 1St Ave N
Great Falls, MT 59401-2506
Phone
(406) 454-0438
Fax
(406) 727-8550
NPI assigned
Sep 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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 2163 MT Primary

Addresses

Primary practice location

314 1St Ave N
Great Falls, MT 59401-2506

Mailing address

908 8TH Ave S
Great Falls, MT 59405-2165
Phone (406) 454-0438

Other identifiers 1

IdentifierTypeStateIssuer
2163OtherMTLICENCE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090402000642 MT Practitioner - Physical Therapist in Private Practice 7911054275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

314 1St Ave N
Great Falls, MT 59401-2506
Phone (406) 454-0438

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1720237415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 8TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594052165",
            "telephone_number": "406-454-0438",
            "fax_number": "406-727-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 1ST AVE N",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594012506",
            "telephone_number": "406-454-0438",
            "fax_number": "406-727-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLEN",
        "first_name": "CHAD",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.P.T., CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-17",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "2163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE NUMBER",
            "identifier": "2163",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.