Rachael Mulch, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070017857 Issued in IL

Practice address

9901 N Knoxville Ave
Ste. D
Peoria, IL 61615-1429

Phone

(309) 243-1989

Fax

(309) 243-8168

NPI assigned

Aug 5, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rachael Bloom Former name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Freedom Physical Therapy and Fitness, PLLC

  • Physical Therapist
  • Raymond, IL
  • NPI 1114776275
  Medicare reassignment NPD Authorized official
• JD Nimrick PC

  • Physical Therapist
  • Peoria, IL
  • NPI 1336150283
  NPD (past)
• Rock Valley Physical Therapy Center

  • Physical Therapist
  • Moline, IL
  • NPI 1245373166
  NPD (past)
• Rock Valley Physical Therapy Center

  • Occupational Therapist
  • Eldridge, IA
  • NPI 1881540490

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334620800000",
    "number": "1992019541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 43RD AVE",
            "address_2": "STE. 100",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658401",
            "telephone_number": "309-743-2070",
            "fax_number": "309-743-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 N KNOXVILLE AVE",
            "address_2": "STE. D",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151429",
            "telephone_number": "309-243-1989",
            "fax_number": "309-243-8168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULCH",
        "first_name": "RACHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-05",
        "last_updated": "2012-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070017857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "070-017857",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "BLOOM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paul John Mroz, D.C.
• Blake A Muehlich, LCPC
• Donna C. Mueller, R.D.
• John C Mueller, MD
• Shanna Jane Muir, LCPC
• Daniel Scott Mulconrey, MD
• Elyn D Mulder, MSW
• Paul Mulholland, BC-HIS
• Tiara J Mullen, APRN
• Anna Mullens, CNP

• Physical Therapist in Peoria, IL
• Providers in Peoria, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; 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.