LORAH RETHERFORD (DPT) – Physical Therapist, NPI 1043009186

LORAH RETHERFORD (DPT) is a healthcare provider. based in Fort wayne, Indiana. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. The NPI Number for LORAH RETHERFORD (DPT) is 1043009186

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
LORAH RETHERFORD (DPT)
NPI
1043009186
Phone
(260) 497-7191
Address
9823 AUBURN RD
Enumeration Date
5 May 2025
Last Update Date
5 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2604977191
Graduation Year
2025 (1 year ago)
PAC ID
2567972730
Group Practice PAC ID
3476516071
Professional Enrollment ID
I20250606002004
Address ID
IN468252347FO9823XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

1,866 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN

Provider Addresses for LORAH RETHERFORD (DPT)

  • 9823 AUBURN RD

    FORT WAYNE, IN 468252347

    Phone: (260) 497-7191

    Type: Location

  • 12844 COLDWATER RD STE B

    FORT WAYNE, IN 468458833

    Phone: (260) 497-7191

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250606002004IPhysical Therapist In Private PracticeINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46825)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476516071View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeIN

Reviews

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Frequently asked questions

Is LORAH RETHERFORD (DPT) listed with a National Provider Identifier?
Yes — LORAH RETHERFORD (DPT) has NPI 1043009186 on file in the registry.
Is there an active status for LORAH RETHERFORD (DPT)?
For scheduling context, LORAH RETHERFORD (DPT) is shown as active in the registry.
What clinical focus is listed for LORAH RETHERFORD (DPT)?
At a glance, LORAH RETHERFORD (DPT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with LORAH RETHERFORD (DPT)?
Directory geography for LORAH RETHERFORD (DPT) centers on Fort Wayne, Indiana.
When was this NPI issued?
Enumeration for LORAH RETHERFORD (DPT) is noted as May 5, 2025 where the registry provides it.

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