Individual provider Active NPI

Terry A Riker, DPT

  • Physical Therapist
  • Huntington Beach, CA
National Provider Identifier
1043353543
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT27121 Issued in CA
Practice address
17742 Beach Blvd Ste 215
Huntington Beach, CA 92647-6800
Phone
(714) 848-1655
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT27121 CA Primary

Addresses

Primary practice location

17742 Beach Blvd Ste 215
Huntington Beach, CA 92647-6800

Mailing address

19001 Antioch Dr
Irvine, CA 92603-3306
Phone (949) 509-1295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071022000860 CA Practitioner - Physical Therapist in Private Practice 3870689847 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mobile Therapy Specialists Inc.Group PAC ID 9638594898, 33 clinicians

Practice addresses (Care Compare)

514 8TH St
Huntington Beach, CA 92648-4631
Phone (949) 529-1567

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT27121CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Therapy Specialists Inc CurrentSince Mar 6, 2023 Accepting new patients
Beach Physicians Medical Group Inc CurrentSince Jan 1, 2007 Accepting new patients

Locations

17742 Beach Blvd
Ste 215
Huntington Beach, CA 92647
Phone (714) 848-1655

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043353543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19001 ANTIOCH DR",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926033306",
            "telephone_number": "949-509-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17742 BEACH BLVD STE 215",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476800",
            "telephone_number": "714-848-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIKER",
        "first_name": "TERRY",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT27121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.