Jonette Ricks

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306605030 Issued in VA

Practice address

12052 N Shore Dr
Reston, VA 20190-4969

Phone

(703) 834-9800

NPI assigned

Jun 6, 2018

Last updated

Jun 6, 2018By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1336632173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3213 DOLORES AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436072725",
            "telephone_number": "989-484-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12052 N SHORE DR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201904969",
            "telephone_number": "703-834-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKS",
        "first_name": "JONETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306605030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard L. Stokes, M.D. & Alfreda Jones, M.D., PC
• Robert Richard, M.D.
• Joseph L. Richardson III, DDS
• Rachel Marie Richardson
• Abigail Charlotte Richter, LCSW
• India Riddle
• Ridgetop Dental of Reston, PLLC
• Tyrinda Lanese Riley
• Risen Medical Care Inc (Millennium Medical Care Reston)
• Lawrence Philip Riso, PH.D.

• Physical Therapy Assistant in Reston, VA
• Providers in Reston, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.