Richard David Ricks, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA003267 Issued in GA

Practice address

36261 Okefenokee Dr
Folkston, GA 31537-7853

Phone

(912) 496-7396

NPI assigned

Apr 27, 2014

Last updated

Apr 27, 2014By the provider in NPPES

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

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": "1398556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398556800000",
    "number": "1407276629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36261 OKEFENOKEE DR",
            "city": "FOLKSTON",
            "state": "GA",
            "postal_code": "315377853",
            "telephone_number": "912-496-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36261 OKEFENOKEE DR",
            "city": "FOLKSTON",
            "state": "GA",
            "postal_code": "315377853",
            "telephone_number": "912-496-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKS",
        "first_name": "RICHARD",
        "middle_name": "DAVID",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-27",
        "last_updated": "2014-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA003267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avonda Paul, OCCUPATIONAL THERAPY
• Danielle Pautler
• Peach Care LLC
• Heather G Peebles, LD
• Ghislain Richard Perron, MD
• Sarah Suzanne Ridgeway, APRN
• Brandi Robertson
• Robin C Rogers, MSN,FNP-BC,ANP,RN
• Carla Jeanette Rowe, FNP-BC
• Shuman Health Care (Shuman HealthCare of Folkston)

• Physical Therapy Assistant in Folkston, GA
• Providers in Folkston, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.