Basking Ridge Physical Therapy, LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

40QA00971700 Issued in NJ

Legal business name

BASKING RIDGE PHYSICAL THERAPY, LLC

Practice address

150 N Finley Ave
Basking Ridge, NJ 07920-1686

Phone

(908) 340-4772

Fax

(908) 340-4774

NPI assigned

Aug 6, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Marc F Riccardi, PT, DPT, OCS, SCSNPI 1023071982

Title

Owner

Phone

(908) 340-4772

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc Francis Riccardi, DPT

  • Orthopedic Physical Therapist
  • Basking Ridge, NJ
  • NPI 1023071982
  Medicare reassignment NPD Authorized official
• Jeffrey Fitzgerald, PT

  • Physical Therapist
  • Berkeley Heights, NJ
  • NPI 1053460444
  NPD (past)

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344211200000",
    "number": "1306193677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N FINLEY AVE",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201686",
            "telephone_number": "908-340-4772",
            "fax_number": "908-340-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N FINLEY AVE",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079201686",
            "telephone_number": "908-340-4772",
            "fax_number": "908-340-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASKING RIDGE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2012-08-06",
        "status": "A",
        "authorized_official_last_name": "RICCARDI",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-340-4772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, OCS, SCS"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NJ",
            "license": "40QA00971700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rouba Barkoudeh
• Francesca Barrett, MD MBA
• Basking Ridge Fire Company No. 1
• Basking Ridge Pediatric Dentistry, LLC
• Basking Ridge Pediatric Health Center
• Basking Ridge Project Partnership, LLC
• Tammy K Bassin, RPH
• Sophia Baurkot
• Bay Area Radiology, PC
• Leslie Becker-Phelps, PH.D.

• Orthopedic Physical Therapist in Basking Ridge, NJ
• Providers in Basking Ridge, NJ by specialty
• Orthopedic Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2012; 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.