Marisa Lynn Rickenbach, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7092 Issued in AZ

Practice address

20261 E Ocotillo Rd
Suite 110
Queen Creek, AZ 85242-8806

Phone

(480) 677-2771

Fax

(480) 677-2768

NPI assigned

Oct 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Marisa Lynn Ryan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elite Medical Partners PLLC

  • Family Medicine Physician
  • Queen Creek, AZ
  • NPI 1710599303
  NPD

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243987200000",
    "number": "1477640894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4081 E SANTA FE LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852978034",
            "telephone_number": "480-656-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20261 E OCOTILLO RD",
            "address_2": "SUITE 110",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "852428806",
            "telephone_number": "480-677-2771",
            "fax_number": "480-677-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKENBACH",
        "first_name": "MARISA",
        "middle_name": "LYNN",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2009-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01208100",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "7092",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT017984",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISA",
            "last_name": "RYAN",
            "middle_name": "LYNN",
            "credential": "MSPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steven P Richardson
• Summer Michelle Richardson, FNP
• Richetto Chiropractic and Rehabilitation
• Kaylee Morgan Richins
• Jonathan D Richtsteig, DMD
• Katie Riddle, RN
• Ashley Ann Rieker-Dahl, APRN
• Rise and Reach Behavioral Health
• Delain Ritchey, BCBA
• Rite of Passage Inc

• Physical Therapist in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2009; 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.