Individual provider Active NPI

Anthony Raymond Rich Jr., DPT, FAAOMPT

  • Physical Therapist
  • Sierra Vista, AZ
National Provider Identifier
1174292064
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.026013 Issued in IL
Practice address
2520 E Wilcox Dr
Sierra Vista, AZ 85635-2843
Phone
(815) 326-2196
NPI assigned
Sep 13, 2021
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 20592 AZ
Physical Therapist 225100000X 070.026013 IL Primary
Mechanotherapist 172M00000X 20592 AZ

Addresses

Primary practice location

2520 E Wilcox Dr
Sierra Vista, AZ 85635-2843

Mailing address

2520 E Wilcox Dr
Sierra Vista, AZ 85635-2843
Phone (520) 685-8522

Other identifiers 2

IdentifierTypeStateIssuer
070.026013OtherILILLINOIS LICENSE NUMBER
LPT-32036OtherAZAZ STATE LICENSE

Other names 1

  • Dr. Anthony Raymond Rich Jr. Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220602001616 AZ Practitioner - Physical Therapist in Private Practice 9638564107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Therapy, PLLCGroup PAC ID 3476948936, 3 clinicians

Practice addresses (Care Compare)

2520 E Wilcox Dr
Sierra Vista, AZ 85635-2843
Phone (520) 685-8522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20592AZMDNeuromusculoskeletal Medicine & OMM Physician
070.026013ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Therapy, PLLC Physical Therapist CurrentSince Dec 13, 2021 Accepting new patients

Locations

2520 E Wilcox Dr
Sierra Vista, AZ 85635
Phone (520) 458-1999

Organizations & group practices 1

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": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1174292064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 E WILCOX DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352843",
            "telephone_number": "520-685-8522",
            "fax_number": "520-336-9485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 E WILCOX DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352843",
            "telephone_number": "815-326-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "ANTHONY",
        "middle_name": "RAYMOND",
        "name_suffix": "Jr.",
        "credential": "DPT, FAAOMPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-13",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "AZ",
            "license": "20592",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.026013",
            "primary": true
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "AZ",
            "license": "20592",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS LICENSE NUMBER",
            "identifier": "070.026013",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ STATE LICENSE",
            "identifier": "LPT-32036",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTHONY",
            "last_name": "RICH",
            "middle_name": "RAYMOND",
            "prefix": "DR.",
            "suffix": "JR.",
            "credential": "DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.