Todd Randall Rippy, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2034064 Issued in TX

Practice address

4225 Lake Arthur Dr
Port Arthur, TX 77642-6490

Phone

(409) 722-0174

Fax

(409) 722-0174

NPI assigned

Jun 13, 2007

Sex

Male

Sole proprietor

Yes

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": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376747220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 HAMPTON LN",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776514906",
            "telephone_number": "409-724-1690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 LAKE ARTHUR DR",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776426490",
            "telephone_number": "409-722-0174",
            "fax_number": "409-722-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIPPY",
        "first_name": "TODD",
        "middle_name": "RANDALL",
        "name_prefix": "Mr.",
        "credential": "P.T.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2034064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renal Center of Port Arthur, LLC
• Residential Senior Care (RSC)
• Reyna Nguyen D.D.S P.L.L.C
• Heather Nicole Rhodes, DDS
• Richard a Schleiffer DPM Apc
• Angel Ivan Rivera, DDS
• Judith Lynn Rivers, PTA
• Corey John Rizzo, DC
• Robert T. Warhola, D.O., P.a
• Chalita La Shon Roberts, PTA

• Physical Therapy Assistant in Port Arthur, TX
• Providers in Port Arthur, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.