Ricci Fedullo-Dodson, P T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT7787 Issued in FL

Practice address

6363 Verde Trail.
Boca Raton, FL 33433

Phone

(561) 451-3915

NPI assigned

Jan 22, 2008

Sex

Female

Sole proprietor

Yes

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 FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Allegiance Home Therapy, Inc

  • Physical Therapist
  • Boca Raton, FL
  • NPI 1134438484
  Medicare reassignment NPD
• Legacy Healthcare Services, Inc

  • Physical Therapist
  • Tampa, FL
  • NPI 1336535988
  Medicare reassignment NPD
• Wellness Rehab USA, Inc

  • Physical Therapist
  • Delray Beach, FL
  • NPI 1386839256
  Medicare reassignment NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489
  NPD
• Wellness Rehab USA Therapy Corp

  • Physical Therapist
  • Delray Beach, FL
  • NPI 1689520546
  NPD (past)

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1164609103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 W. CAMINO REAL",
            "address_2": "SUITE #101",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 VERDE TRAIL.",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33433",
            "telephone_number": "561-451-3915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDULLO-DODSON",
        "first_name": "RICCI",
        "credential": "P T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-22",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT7787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Federal Injury Treatment Center of the Palm Beaches
• Federation CCRC Operations Corp.
• Olga Fedkiv
• Ruslan Fedkiv
• Kendall Fedorko
• Michelle Karen Feffer, ANRP
• Melodi Burnett Fehl, M.S. CCC-A
• Sharon Fein, LCSW
• Marc H. Feinberg, M.D.
• Tarren Kristin Feinberg, FNP-BC

• Physical Therapist in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.