Individual provider Active NPI

Rick Olibrice

  • Physical Therapy Assistant
  • Plantation, FL
National Provider Identifier
1336657857
Registry record updated May 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA27780 Issued in FL
Practice address
747 S State Road 7
Plantation, FL 33317-4055
Phone
(954) 316-1131
NPI assigned
Jan 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA27780 FL Primary

Addresses

Primary practice location

747 S State Road 7
Plantation, FL 33317-4055

Mailing address

747 S State Road 7
Plantation, FL 33317-4055
Phone (954) 316-1131

Other practice location 1

7815 NW Beacon Square Blvd Ste 101
Boca Raton, FL 33487-1345
Phone (561) 995-0136

Other practice location 2

7815 NW Beacon Square Blvd Ste 101
Boca Raton, FL 33487-1345
Phone (561) 995-0136

Other identifiers 1

IdentifierTypeStateIssuer
PTA27780OtherFLFLORIDA DEPT. OF HEALTH

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
PTA27780FLMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525564800000",
    "number": "1336657857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 S STATE ROAD 7",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333174055",
            "telephone_number": "954-316-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 S STATE ROAD 7",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333174055",
            "telephone_number": "954-316-1131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7815 NW Beacon Square Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334871345",
            "country_code": "US",
            "telephone_number": "561-995-0136",
            "fax_number": "561-995-0136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7815 NW Beacon Square Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334871345",
            "country_code": "US",
            "telephone_number": "561-995-0136",
            "fax_number": "561-995-0136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIBRICE",
        "first_name": "RICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA27780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPT. OF HEALTH",
            "identifier": "PTA27780",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

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