Individual provider Active NPI

Joanne R Rickert, EDD, PT

  • Physical Therapist
  • Cape Coral, FL
National Provider Identifier
1316918972
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5284 Issued in FL
Practice address
1240 SE 8TH Ter
Cape Coral, FL 33990-3210
Phone
(239) 772-3335
Fax
(239) 772-9267
NPI assigned
Jan 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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 PT5284 FL Primary

Addresses

Primary practice location

1240 SE 8TH Ter
Cape Coral, FL 33990-3210

Mailing address

12500 Panasoffkee Dr
N Fort Myers, FL 33903-4755
Phone (239) 691-3121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120118000499 FL Practitioner - Physical Therapist in Private Practice 9739149840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pelletier Rickert Physical Therapy Inc PAGroup PAC ID 1759341860, 3 clinicians

Practice addresses (Care Compare)

5990 Mackerel Rd
Bokeelia, FL 33922-2823
Phone (239) 283-1716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT5284FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pelletier Rickert Physical Therapy, Inc., P.a. Physical Therapist CurrentSince Jul 4, 1999 Accepting new patients

Locations

5990 Mackerel Rd
Bokeelia, FL 33922
Phone (239) 283-1716

1240 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3335

Organizations & group practices 1

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1316918972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 PANASOFFKEE DR",
            "city": "N FORT MYERS",
            "state": "FL",
            "postal_code": "339034755",
            "telephone_number": "239-691-3121",
            "fax_number": "239-772-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 SE 8TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903210",
            "telephone_number": "239-772-3335",
            "fax_number": "239-772-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKERT",
        "first_name": "JOANNE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "EDD, PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT5284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.