Active NPI
Melissa Ellen Rickenbaker, PT
- Physical Therapist
- Columbia, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2550
- Practice address
- 111 Doctor Cir
Columbia, SC 29203-6502 - Phone
- (800) 491-0909
- NPI assigned
- Nov 18, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2550 | SC | Primary |
Addresses
Primary practice location
111 Doctor Cir
Columbia, SC 29203-6502
Mailing address
111 Doctor Cir
Columbia, SC 29203-6502
Phone (800) 491-0909
Other practice location 1
301 E Dekalb St # B
Camden, SC 29020-4495
Phone (803) 432-2432
Other practice location 2
1514 Alexander Love Hwy E Ste 116
York, SC 29745-7770
Phone (803) 628-2220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Medical University of South Carolina College of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1910 Blanding St
Columbia, SC 29201-3520
Phone (803) 256-4107
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2550 | SC | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midlands Orthopaedics and Neurosurgery PA | Current | Accepting new patients | |
| Midlands Orthopaedics and Neurosurgery, PA | Current | Accepting new patients | |
| Pro-Motion Physical Therapy of Camden, SC, LLC | Physical Therapist | Current | Accepting new patients |
| Palmetto Rehabilitation Specialists, LLC | Physical Therapist | Past | Accepting new patients |
| Ih3 Physcial Therapy | Physical Therapist | Past | Accepting new patients |
| Midlands Orthopaedics and Neurosurgery, PA | Past | Accepting new patients |
Locations
301 E DeKalb St
#B
Camden, SC 29020
Phone (803) 432-2432
720 Rabon Rd
Columbia, SC 29203
Phone (803) 462-0423
1910 Blanding St
Columbia, SC 29201
Phone (803) 253-6721
Interoperability endpoints
- melissa.rickenbaker.1@5499.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Columbia, SC
- NPI 1447235106
-
- Durable Medical Equipment & Medical Supplies
- Columbia, SC
- NPI 1598659393
-
- Physical Therapist
- Camden, SC
- NPI 1427630284
-
- Orthopaedic Surgery Physician
- Irmo, SC
- NPI 1124096979
-
- Physical Therapist
- Fort Mill, SC
- NPI 1003194978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703635200000",
"number": "1457688186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 DOCTOR CIR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036502",
"telephone_number": "800-491-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 DOCTOR CIR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036502",
"telephone_number": "800-491-0909"
}
],
"practiceLocations": [
{
"address_1": "301 E Dekalb St # B",
"address_purpose": "LOCATION",
"city": "Camden",
"state": "SC",
"postal_code": "290204495",
"country_code": "US",
"telephone_number": "803-432-2432",
"fax_number": "803-432-1779",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1514 Alexander Love Hwy E Ste 116",
"address_purpose": "LOCATION",
"city": "York",
"state": "SC",
"postal_code": "297457770",
"country_code": "US",
"telephone_number": "803-628-2220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RICKENBAKER",
"first_name": "MELISSA",
"middle_name": "ELLEN",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-18",
"last_updated": "2023-12-27",
"certification_date": "2023-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "2550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.