Individual provider Active NPI

Justin Ricks, DPT

  • Physical Therapist
  • Conway, SC
National Provider Identifier
1144119090
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP048708T Issued in SC
Practice address
235 Singleton Ridge Rd Ste 102
Conway, SC 29526-9136
Phone
(843) 353-3460
NPI assigned
Jul 2, 2025
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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 PT017906 GA
Physical Therapist 225100000X CP048708T SC Primary

Addresses

Primary practice location

235 Singleton Ridge Rd Ste 102
Conway, SC 29526-9136

Mailing address

310 Governor Gwinnett Way
Pooler, GA 31322-3809
Phone (229) 425-5904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250910001888 SC Practitioner - Physical Therapist in Private Practice 4385147024 Reassigns benefits to 1 organization
I20260327002887 WA Practitioner - Physical Therapist in Private Practice 4385147024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthosc LLCGroup PAC ID 8022370030, 113 clinicians
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

2376 Cypress Cir
Suite 300
Conway, SC 29526-8995
Phone (843) 353-3460

2727 Hollycroft St
Suite 310
Gig Harbor, WA 98335-1312
Phone (253) 514-6757

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT017906GAMDPhysical Therapist
CP048708TSCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthosc, LLC CurrentSince Aug 18, 2025 Accepting new patients
Orthosc, LLC CurrentSince Aug 18, 2025 Accepting new patients
Orthosc, LLC PastSince May 29, 2022 Accepting new patients

Locations

235 Singleton Ridge Rd
Ste 102
Conway, SC 29526

2376 Cypress Cir
Ste 300
Conway, SC 29526
Phone (843) 347-7222

210 Village Center Blvd
Ste 140
Myrtle Beach, SC 29579
Phone (843) 333-8385

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17161/brand/1/csg/1/fhir/r4
  • Direct secure messaging: justin.ricks.1@17161.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1144119090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 GOVERNOR GWINNETT WAY",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313223809",
            "telephone_number": "229-425-5904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 SINGLETON RIDGE RD STE 102",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269136",
            "telephone_number": "843-353-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKS",
        "first_name": "JUSTIN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017906",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "CP048708T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.

Verify at the official NPI Registry.