Active NPI
Rikke Johansen, DC
- Sports Physician Chiropractor
- Palo Alto, CA
National Provider Identifier
1124079397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- DC22727
- Practice address
- 609 Cowper St
Palo Alto, CA 94301-1808 - Phone
- (650) 484-0110
- Fax
- (650) 644-0110
- NPI assigned
- May 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | DC22727 | CA | Primary |
Addresses
Primary practice location
609 Cowper St
Palo Alto, CA 94301-1808
Mailing address
609 Cowper St
Palo Alto, CA 94301-1808
Phone (650) 484-0110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
609 Cowper St
Palo Alto, CA 94301-1808
Phone (650) 484-0110
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC22727 | CA | MD | Sports Physician Chiropractor |
| 22727 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobilize Sports Chiropractic and Manual Therapy, Inc. | Sports Physician | Current | Accepting new patients |
| Rikke Chiropractic PC | Sports Physician | Current | Accepting new patients |
| Health Logic, LLC | Sports Physician | Past | Accepting new patients |
| Lucas Physical Therapy and Fitness Inc | Past | Accepting new patients |
Locations
609 Cowper St
Palo Alto, CA 94301
Phone (408) 774-1424
536 El Camino Real
Redwood City, CA 94063
Phone (650) 853-1800
Organizations & group practices 4
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.
-
- Sports Physician Chiropractor
- Palo Alto, CA
- NPI 1508624024
-
- Sports Physician Chiropractor
- Menlo Park, CA
- NPI 1437427077
-
- Sports Physician Chiropractor
- Redwood City, CA
- NPI 1962974261
-
- Physical Therapy Clinic/Center
- Sunnyvale, CA
- NPI 1154377596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739491200000",
"number": "1124079397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "609 COWPER ST",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943011808",
"telephone_number": "650-484-0110",
"fax_number": "650-644-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "609 COWPER ST",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943011808",
"telephone_number": "650-484-0110",
"fax_number": "650-644-0110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHANSEN",
"first_name": "RIKKE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-13",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CA",
"license": "DC22727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.