Ricky Acevedo, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

10325A Issued in AZ

Practice address

1475 N Granite Reef Rd
Scottsdale, AZ 85257-3919

Phone

(480) 990-1904

NPI assigned

Jun 6, 2013

Last updated

Feb 12, 2023By 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 2

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": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676160000000",
    "number": "1457799959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16682 N WEST POINT PKWY APT 105",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853744033",
            "telephone_number": "480-616-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 N GRANITE REEF RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573919",
            "telephone_number": "480-990-1904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "RICKY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-06",
        "last_updated": "2023-02-12",
        "certification_date": "2023-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "10325A",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-24845",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Accuspine PLLC
• Ace Chiropractic Az LLC
• Ace Home Health LLC
• Ace Peridontics PC
• Ace Senior Care (Sonoran Family Concierge)
• Veronika Acevedo
• Jennifer Ach, A.T.C.
• Chad William Achatz, DMD
• Emmanuella Nnenna Achebe
• Achievement Home Healthcare, LLC

• Physical Therapy Assistant in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2023; 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.