Individual provider Active NPI

Martina Grace Ricafort, PT

  • Physical Therapist
  • Reno, NV
National Provider Identifier
1083034334
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5028 Issued in NV
Practice address
555 Hammill LN
Reno, NV 89511-1004
Phone
(775) 502-4616
NPI assigned
Apr 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5028 NV Primary
Physical Therapist 225100000X 23250 MD

Addresses

Primary practice location

555 Hammill LN
Reno, NV 89511-1004

Mailing address

9410 Prototype Dr Ste 7
Reno, NV 89521-5903
Phone (240) 469-9442

Other practice location 1

3101 Plumas St
Reno, NV 89509-4515
Phone (775) 433-2700

Other practice location 2

2350 Wingfield Hills Rd
Sparks, NV 89436-7220
Phone (775) 335-8275

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
23250MDMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1083034334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9410 PROTOTYPE DR STE 7",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215903",
            "telephone_number": "240-469-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 HAMMILL LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111004",
            "telephone_number": "775-502-4616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3101 Plumas St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895094515",
            "country_code": "US",
            "telephone_number": "775-433-2700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2350 Wingfield Hills Rd",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894367220",
            "country_code": "US",
            "telephone_number": "775-335-8275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICAFORT",
        "first_name": "MARTINA GRACE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-24",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "5028",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "23250",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.