Individual provider Active NPI

Risa Ribault

  • Developmental Therapist
  • Hollywood, FL
National Provider Identifier
1285901017
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
License
26842 Issued in FL
Practice address
3900 N 39TH Ave
Hollywood, FL 33021-1808
Phone
(848) 525-7703
NPI assigned
Nov 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X 26842 FL Primary

Addresses

Primary practice location

3900 N 39TH Ave
Hollywood, FL 33021-1808

Mailing address

3900 N 39TH Ave
Hollywood, FL 33021-1808
Phone (848) 525-7703

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
014996NYMDMental Health Counselor
26842FLMDDevelopmental Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Broward Physical Therapy Current Accepting new patients
Bodywise Physical Therapy PLLC Past Accepting new patients

Organizations & group practices 2

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": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1285901017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 N 39TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211808",
            "telephone_number": "848-525-7703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 N 39TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330211808",
            "telephone_number": "848-525-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIBAULT",
        "first_name": "RISA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "26842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.