Ricky Neil Risenhoover, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1606 Issued in OK

Practice address

23 Plaza South St
Tahlequah, OK 74464-4750

Phone

(918) 431-1919

Fax

(918) 431-1636

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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 OK

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.

• Prague Healthcare Authority

  dba Prague Memorial Regional Hospital

  • Emergency Medicine Physician
  • Prague, OK
  • NPI 1851537096
  Medicare reassignment NPD
• Prague Healthcare Authority

  dba Prague Memorial Regional Hospital

  • Critical Access Hospital
  • Prague, OK
  • NPI 1750527768
  NPD

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202428800000",
    "number": "1285662916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 PLAZA SOUTH",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "74464",
            "telephone_number": "918-431-1919",
            "fax_number": "918-431-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 PLAZA SOUTH ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744644750",
            "telephone_number": "918-431-1919",
            "fax_number": "918-431-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISENHOOVER",
        "first_name": "RICKY",
        "middle_name": "NEIL",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2008-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "1606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Jene Richey
• Ann E. Riley, DDS
• Christian Denell Riley
• Rise Center for Recovery
• Risenhoover Physical Therapy PLC
• Patsy L Ritter
• Jordan Roach
• Jessica Renee Roady, M.S., CCC-SLP
• Kylie Roberson
• Robert P Mitchell, DC, PC (mitchell family chiropracitc)

• Physical Therapist in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.