Chad Brandon Rieckenberg, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

38789 Issued in CA

Practice address

1209 Whitley Ave
Corcoran, CA 93212-2327

Phone

(559) 216-0595

Fax

(559) 762-7592

NPI assigned

Mar 5, 2012

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

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bacci and Glinn Physical Therapy Inc.Group PAC ID 4183520901, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bacci and Glinn Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Visalia, CA
  • NPI 1083722086
  Medicare reassignment Care Compare group NPD
• Phys Med a Physical Therapy Corporation

  • Physical Therapist
  • Fresno, CA
  • NPI 1699728188
  Medicare reassignment NPD
• Bacci and Glinn Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Hanford, CA
  • NPI 1750499778
  NPD

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1376817684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 N FRESNO ST STE 202",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202976",
            "telephone_number": "559-438-4300",
            "fax_number": "559-438-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 WHITLEY AVE",
            "city": "CORCORAN",
            "state": "CA",
            "postal_code": "932122327",
            "telephone_number": "559-216-0595",
            "fax_number": "559-762-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIECKENBERG",
        "first_name": "CHAD",
        "middle_name": "BRANDON",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-05",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "38789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aliyah Redoble
• Reedley Community Hospital
• Reedley Community Hospital
• Keithlyn Richards, PHARM.D
• John Vernon Dale Richardson, DDS
• Jerald David Robertson, R.PH.
• Jarrod K. Rodriguez, NP-C
• Patricia Rouch, FNP
• David Roy, MSW
• Veronica Ruiz, PSYD

• Physical Therapist in Corcoran, CA
• Providers in Corcoran, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.