Active NPI
Reid L Molen Jr., P.T.
- Physical Therapist
- Great Falls, MT
National Provider Identifier
1750377248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 86PT
- Practice address
- 314 1St Ave N
Great Falls, MT 59401-2506 - Phone
- (406) 454-0438
- Fax
- (406) 727-8550
- NPI assigned
- Sep 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 105054-2401 | UT | |
| Physical Therapist | 225100000X | 9141 | CA | |
| Physical Therapist | 225100000X | 86PT | MT | Primary |
Addresses
Primary practice location
314 1St Ave N
Great Falls, MT 59401-2506
Mailing address
2001 11TH St SW
Great Falls, MT 59404-3409
Phone (406) 454-0579
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 196546100 | Other | MT | US DEPT. OF LABOR |
| 942822815B004 | Other | MT | TRICARE |
| 0349154 | Medicaid | MT | |
| 942822815003 | Other | MT | EBMS |
| 000083326 | Other | MT | MEDICARE - GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT, AZ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1972
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86PT | MT | MD | Physical Therapist |
| 105054-2401 | UT | MD | Physical Therapist |
| 9141 | CA | MD | Occupational Therapist |
| 86 | MT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spooner Physical Therapy and Hand Rehab, PC | Physical Therapist | Current | Accepting new patients |
| Spooner Physical Therapy & Hand Rehab, PC | Current | Accepting new patients | |
| Spooner Physical Therapy & Hand Rehab, PC | Current | Accepting new patients |
Locations
9097 E Desert Cove Ave
Ste 110
Scottsdale, AZ 85260
Phone (480) 860-4298
14287 N 87th St
Ste 220
Scottsdale, AZ 85260
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Great Falls, MT
- NPI 1356522833
-
- Physical Therapy Clinic/Center
- Scottsdale, AZ
- NPI 1184730095
-
- Physical Therapy Clinic/Center
- Surprise, AZ
- NPI 1114424868
-
- Physical Therapy Clinic/Center
- Rockwall, TX
- NPI 1184465650
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683676800000",
"number": "1750377248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 11TH ST SW",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594043409",
"telephone_number": "406-454-0579"
},
{
"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": "REID",
"middle_name": "L",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2023-05-10",
"certification_date": "2023-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "UT",
"license": "105054-2401",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "9141",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "86PT",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT. OF LABOR",
"identifier": "196546100",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "942822815B004",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0349154",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EBMS",
"identifier": "942822815003",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - GROUP NUMBER",
"identifier": "000083326",
"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.