Active NPI
Victor John Rico, PT
- Physical Therapist
- Denham Springs, LA
National Provider Identifier
1447650288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 06767F
- Practice address
- 28312 Grand Turk Dr
Denham Springs, LA 70726-7884 - Phone
- (985) 791-6643
- NPI assigned
- Aug 29, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 06767F | LA | Primary |
| Physical Therapist | 225100000X | 1187689 | TX |
Addresses
Primary practice location
28312 Grand Turk Dr
Denham Springs, LA 70726-7884
Mailing address
28312 Grand Turk Dr
Denham Springs, LA 70726
Phone (985) 791-6643
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
| License | State | Type | Specialty |
|---|---|---|---|
| 06767F | LA | MD | Physical Therapist |
| 1187689 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409270400000",
"number": "1447650288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28312 GRAND TURK DR",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "70726",
"telephone_number": "985-791-6643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28312 GRAND TURK DR",
"city": "DENHAM SPRINGS",
"state": "LA",
"postal_code": "707267884",
"telephone_number": "985-791-6643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICO",
"first_name": "VICTOR",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-29",
"last_updated": "2014-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "LA",
"license": "06767F",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1187689",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denham Springs, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.