Individual provider Active NPI

Mary Donohue Rachford, P.T.

  • Physical Therapist
  • Michigan City, IN
National Provider Identifier
1902991243
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05016033A Issued in IN
Practice address
3939 Franklin St Ste 1
Michigan City, IN 46360-7984
Phone
(219) 214-4060
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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 070-005610 IL
Physical Therapist 225100000X 05016033A IN Primary

Addresses

Primary practice location

3939 Franklin St Ste 1
Michigan City, IN 46360-7984

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 393-2167

Other practice location 1

630 E Ogden Ave
Naperville, IL 60563-3237
Phone (630) 369-1015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070410000279 IL Practitioner - Physical Therapist in Private Practice 5890898795 Reassigns benefits to 1 organization
I20250926004236 IN Practitioner - Physical Therapist in Private Practice 5890898795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

3939 Franklin St
Suite 1
Michigan City, IN 46360-7984
Phone (219) 214-4060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-005610ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Physical Therapy, S.C. Physical Therapist CurrentSince Oct 3, 2022 Accepting new patients
Athletico, LTD Physical Therapist CurrentSince Sep 19, 2025 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Sep 19, 2025 Accepting new patients
Athletico LTD Physical Therapist Current Accepting new patients
Midwest Rehabilitation Group Inc Physical Therapist PastSince Jul 1, 2022 Accepting new patients
Physical Therapy Advantage, P.C. Physical Therapist PastSince Mar 15, 2007 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

448 N Weber Rd
Romeoville, IL 60446

448 N Weber Rd
Ste A
Romeoville, IL 60446
Phone (815) 293-3740

3939 Franklin St
Ste 1
Michigan City, IN 46360
Phone (219) 214-4060

1505 US Highway 41
Ste A20
Schererville, IN 46375
Phone (219) 322-5560

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1902991243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-393-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 FRANKLIN ST STE 1",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463607984",
            "telephone_number": "219-214-4060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "630 E Ogden Ave",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605633237",
            "country_code": "US",
            "telephone_number": "630-369-1015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RACHFORD",
        "first_name": "MARY",
        "middle_name": "DONOHUE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-005610",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05016033A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Michigan City, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.