Active NPI
Christina Yvonne Ridley, PT,DPT
- Physical Therapist
- Carmichael, CA
National Provider Identifier
1306362470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 293574
- Practice address
- 6403 Coyle Ave Ste 350
Carmichael, CA 95608-0361 - Phone
- (916) 536-9130
- NPI assigned
- Aug 20, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 293574 | CA | Primary |
Addresses
Primary practice location
6403 Coyle Ave Ste 350
Carmichael, CA 95608-0361
Mailing address
2613 Bass CT
Sacramento, CA 95826-1803
Phone (408) 802-2401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 293574 | Other | CA | PHYSICAL THERAPY BOARD OF CALIFORNIA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swanson Schaack Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Burger Physical Therapy and Rehabilitation Agency Inc | Past | Accepting new patients |
Locations
801 Sterling Pkwy
Ste 150
Lincoln, CA 95648
Phone (916) 543-7900
1620 Lead Hill Blvd
Ste 200
Roseville, CA 95661
Phone (916) 789-1111
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.
-
- Physical Therapist
- Lincoln, CA
- NPI 1316083041
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Folsom, CA
- NPI 1457333908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503187200000",
"number": "1306362470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2613 BASS CT",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958261803",
"telephone_number": "408-802-2401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6403 COYLE AVE STE 350",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956080361",
"telephone_number": "916-536-9130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDLEY",
"first_name": "CHRISTINA",
"middle_name": "YVONNE",
"name_prefix": "Dr.",
"credential": "PT,DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-20",
"last_updated": "2017-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "293574",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY BOARD OF CALIFORNIA",
"identifier": "293574",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.