Individual provider Active NPI

Reid L Molen Jr., P.T.

  • Physical Therapist
  • Great Falls, MT
National Provider Identifier
1750377248
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
86PT 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 21, 2005
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 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
196546100OtherMTUS DEPT. OF LABOR
942822815B004OtherMTTRICARE
0349154MedicaidMT
942822815003OtherMTEBMS
000083326OtherMTMEDICARE - GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120926000264 MT Practitioner - Physical Therapist in Private Practice 6305819939 Reassigns benefits to 1 organization
I20230501002347 AZ Practitioner - Physical Therapist in Private Practice 6305819939 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
86PTMTMDPhysical Therapist
105054-2401UTMDPhysical Therapist
9141CAMDOccupational Therapist
86MTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Spooner Physical Therapy and Hand Rehab, PC Physical Therapist CurrentSince Apr 10, 2023 Accepting new patients
Spooner Physical Therapy & Hand Rehab, PC CurrentSince Apr 10, 2023 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.

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.

Verify at the official NPI Registry.