Individual provider Active NPI

Erica Ricchiuti, DPT

  • Physical Therapist
  • Austin, TX
National Provider Identifier
1528545316
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1309046 Issued in TX
Practice address
1212 W Parmer LN Ste E
Austin, TX 78727
Phone
(888) 590-4002
Fax
(210) 590-4585
NPI assigned
Jul 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1309046 TX Primary

Addresses

Primary practice location

1212 W Parmer LN Ste E
Austin, TX 78727

Mailing address

12508 Jones Maltsberger Rd Ste 110
San Antonio, TX 78247-4215
Phone (888) 590-4002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210218001071 FL Practitioner - Physical Therapist in Private Practice 9335499748 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1309046TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Physical Therapy & Sports Medicine Physical Therapist CurrentSince Feb 5, 2021 Accepting new patients
Premier Physical Therapy Sport Medicine Inc Physical Therapist CurrentSince Feb 5, 2021 Accepting new patients
Premier Physical Therapy Sport Medicine Inc Physical Therapist Current Accepting new patients
Personal Care Physical Therapy Physical Therapist CurrentSince Jul 6, 2023 Accepting new patients
Texas Physical Therapy Specialists Physical Therapist Past Accepting new patients

Locations

897 NE Jensen Beach Blvd
Jensen Beach, FL 34957
Phone (772) 324-3080

1400 SE Goldtree Dr
Ste 205
Port St Lucie, FL 34952

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1528545316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12508 JONES MALTSBERGER RD STE 110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474215",
            "telephone_number": "888-590-4002",
            "fax_number": "210-590-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 W PARMER LN STE E",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78727",
            "telephone_number": "888-590-4002",
            "fax_number": "210-590-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCHIUTI",
        "first_name": "ERICA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1309046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.