Individual provider Active NPI

Richie Zipse, LMT,PTA

  • Mechanotherapist
  • Tucson, AZ
National Provider Identifier
1386846327
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
#MT-15040 Issued in AZ
Practice address
6180 E Hawthorne St
Tucson, AZ 85711-1627
Phone
(520) 300-1351
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 7682A AZ
Mechanotherapist 172M00000X #MT-15040 AZ Primary

Addresses

Primary practice location

6180 E Hawthorne St
Tucson, AZ 85711-1627

Mailing address

6180 E Hawthorne St
Tucson, AZ 85711-1627
Phone (520) 300-1351

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
#MT-15040AZMDMechanotherapist
7682AAZMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392681600000",
    "number": "1386846327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6180 E HAWTHORNE ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111627",
            "telephone_number": "520-300-1351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6180 E HAWTHORNE ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111627",
            "telephone_number": "520-300-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIPSE",
        "first_name": "RICHIE",
        "credential": "LMT,PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2014-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "7682A",
            "primary": false
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "AZ",
            "license": "#MT-15040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.