Individual provider Active NPI

Sarah Clesi Ricco, PT

  • Physical Therapist
  • Hoover, AL
National Provider Identifier
1235566035
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH6814 Issued in AL
Practice address
3049 Highway 150 Ste 102
Hoover, AL 35244-1084
Phone
(205) 988-8542
NPI assigned
Oct 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH6814 AL Primary

Addresses

Primary practice location

3049 Highway 150 Ste 102
Hoover, AL 35244-1084

Mailing address

711 Carr Ave
Birmingham, AL 35209-6239
Phone (504) 583-0339

Other practice location 1

800 Lakeshore Dr
Birmingham, AL 35229-0001
Phone (504) 583-0339

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
PTH6814ALMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1235566035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 CARR AVE",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096239",
            "telephone_number": "504-583-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3049 HIGHWAY 150 STE 102",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352441084",
            "telephone_number": "205-988-8542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Lakeshore Dr",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352290001",
            "country_code": "US",
            "telephone_number": "504-583-0339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICCO",
        "first_name": "SARAH",
        "middle_name": "CLESI",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-11",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH6814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.