Joseph Lee Ricketson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT013328 Issued in GA

Practice address

4274 N Valdosta Rd
Valdosta, GA 31602-6814

Phone

(229) 241-9288

Fax

(229) 241-9443

NPI assigned

Feb 18, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Regional Therapy Services Inc

  • Rehabilitation Clinic/Center
  • Moultrie, GA
  • NPI 1528024387

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1366610990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 PAW PAW LN",
            "city": "LAKE PARK",
            "state": "GA",
            "postal_code": "316363182",
            "telephone_number": "229-563-5085",
            "fax_number": "229-890-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4274 N VALDOSTA RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316026814",
            "telephone_number": "229-241-9288",
            "fax_number": "229-241-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKETSON",
        "first_name": "JOSEPH",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-18",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT013328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT BOARD",
            "identifier": "PT013328",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard J. Nijem & William C Nijem PTR
• Richard J. Nijem, M.D., P.C.
• Richard Wa Rickman LLC
• Ghari N Richardson, MD
• Lindsey Marie Richardson, DMD
• Richard W Rickman, M.D.
• Bradley Gene Ridge, P.A.-C
• Right Fit Therapy & Counselling
• Jamie Teresa Riley, FNP-C
• Sara E. Riley, MSCP, LPC, NCC

• Physical Therapist in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Physical Therapist in Georgia

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