Michael A Rickard Jr., DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501019863 Issued in MI

Practice address

2380 Cedar St Ste 203
Holt, MI 48842-2211

Phone

(517) 709-4677

Fax

(517) 798-5667

NPI assigned

Dec 15, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Probility Therapy ServicesGroup PAC ID 6305897414, 106 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Probility Therapy Services

  • Physical Therapist
  • Ypsilanti, MI
  • NPI 1164458543
  Medicare reassignment Care Compare group NPD
• Premier Rehabilitation

  • Physical Therapist
  • Holt, MI
  • NPI 1306244066
  Medicare reassignment NPD
• Probility Therapy Services

  • Rehabilitation Clinic/Center
  • Ypsilanti, MI
  • NPI 1952873689
  NPD

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608076800000",
    "number": "1043806037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 CEDAR ST STE 203",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488422211",
            "telephone_number": "517-709-4677",
            "fax_number": "517-798-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 CEDAR ST STE 203",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488422211",
            "telephone_number": "517-709-4677",
            "fax_number": "517-798-5667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3315 E Michigan Ave Ste 6",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489124600",
            "country_code": "US",
            "telephone_number": "517-709-4677",
            "fax_number": "517-798-5667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICKARD",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501019863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Rauckhorst
• Lucinda Ann Reed-Nowland, LPC
• Myrisa Anne Regis, LMT
• Cherie Reynolds, PHARMD
• Morgan Grace Richardson
• Rite Aid of Michigan Inc
• Christopher Robinson Sr., LMSW
• Denise Rowe, LMSW
• Abigail Ellen Rutledge, AT, ATC, LAT
• Destinee Rytlewski

• Physical Therapist in Holt, MI
• Providers in Holt, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; 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.