Individual provider Active NPI

Lude Regine Ricard, PT

  • Physical Therapist
  • San Diego, CA
National Provider Identifier
1225249246
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 33814 Issued in CA
Practice address
5703 Oberlin Dr
Ste 308
San Diego, CA 92121-1743
Phone
(619) 621-9215
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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 PT23348 FL
Physical Therapist 225100000X PT 33814 CA Primary

Addresses

Primary practice location

5703 Oberlin Dr
Ste 308
San Diego, CA 92121-1743

Mailing address

5703 Oberlin Dr
Ste 308
San Diego, CA 92121-1743
Phone (858) 412-4787

Other identifiers 1

IdentifierTypeStateIssuer
PT 33814OtherCACALIFORNIA PHYSICAL THERAPY BOARD

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
33814CAMDDentist
PT23348FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elnel, Inc. a California Corporation Total Physical Therapy Physical Therapist PastSince Sep 15, 2014 Accepting new patients
California Medical Injury & Rehabilitation Physicians Inc Past Accepting new patients
Sunnyside Rehab Inc Physical Therapist Past Accepting new patients
JC Chiropractic, P.C. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550102400000",
    "number": "1225249246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5703 OBERLIN DR",
            "address_2": "STE 308",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211743",
            "telephone_number": "858-412-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5703 OBERLIN DR",
            "address_2": "STE 308",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211743",
            "telephone_number": "619-621-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICARD",
        "first_name": "LUDE",
        "middle_name": "REGINE",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2019-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT23348",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 33814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA PHYSICAL THERAPY BOARD",
            "identifier": "PT 33814",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.