Active NPI
Nicholas Alan Ritter, PT, DPT
- Physical Therapist
- Portland, OR
National Provider Identifier
1023615929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 27644
- Practice address
- 3718 SE 33Rd PL
Portland, OR 97202-3056 - Phone
- (360) 204-1633
- NPI assigned
- Oct 4, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 27644 | MD | Primary |
Addresses
Primary practice location
3718 SE 33Rd PL
Portland, OR 97202-3056
Mailing address
3718 SE 33Rd PL
Portland, OR 97202-3056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27644 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658534400000",
"number": "1023615929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3718 SE 33RD PL",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972023056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3718 SE 33RD PL",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972023056",
"telephone_number": "360-204-1633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RITTER",
"first_name": "NICHOLAS",
"middle_name": "ALAN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-04",
"last_updated": "2022-07-23",
"certification_date": "2022-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "27644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.