Rick Eggert, P.T.A

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

AT-4725 Issued in CA

Practice address

1 Civic Plaza Dr
Suite 625
Carson, CA 90745-2243

Phone

(310) 549-4500

NPI assigned

Feb 21, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Richard James Decoursy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Supplemental Health Care

  • General Acute Care Hospital
  • Carson, CA
  • NPI 1295906733
  NPD (past)
• Supplemental Health Care

  • Rehabilitation Hospital
  • Carson, CA
  • NPI 1942523519
  NPD (past)

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1235308552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 PALENCIA PL",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919108064",
            "telephone_number": "619-392-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CIVIC PLAZA DR",
            "address_2": "SUITE 625",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907452243",
            "telephone_number": "310-549-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGERT",
        "first_name": "RICK",
        "name_prefix": "Mr.",
        "credential": "P.T.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT-4725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "DECOURSY",
            "middle_name": "JAMES",
            "prefix": "MR.",
            "credential": "P.T.A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapy Assistant in Carson, CA
• Providers in Carson, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.