Individual provider Active NPI

Emily Rose Riccomini

  • Physical Therapist
  • Aurora, CO
National Provider Identifier
1558147652
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0020690 Issued in CO
Practice address
1390 S Potomac St Ste 114
Aurora, CO 80012-4529
Phone
(408) 981-2112
NPI assigned
Sep 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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 0020690 CO Primary

Addresses

Primary practice location

1390 S Potomac St Ste 114
Aurora, CO 80012-4529

Mailing address

1390 S Potomac St Ste 114
Aurora, CO 80012-4529
Phone (408) 981-2112

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409001442 CA Practitioner - Physical Therapist in Private Practice 3577901628 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0020690COMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Feb 24, 2024 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jul 22, 2025 Accepting new patients
Permanente Medical Group Inc Current Accepting new patients
Colorado Luna Care Physical Therapy LLC Physical Therapist CurrentSince Jul 22, 2025 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Jul 22, 2025 Accepting new patients
Permanente Medical Group Inc CurrentSince Feb 24, 2024 Accepting new patients
Theraphysics Partners of Colorado, Inc. PastSince Sep 8, 2025 Accepting new patients
Select Physical Therapy of Denver LTD Physical Therapist Past Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist Past Accepting new patients
Theraphysics Partners of Colorado Inc PastSince Sep 8, 2025 Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

1800 Harrison St
Fl 7
Oakland, CA 94612

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
#174
Santa Clara, CA 95051
Phone (408) 851-1400

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

500 Eldorado Blvd
Bldg 4
Broomfield, CO 80021
Phone (303) 812-4790

501 S Cherry St
Fl 11
Denver, CO 80246
Phone (309) 530-8782

Organizations & group practices 11

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": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1558147652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 S POTOMAC ST STE 114",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124529",
            "telephone_number": "408-981-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 S POTOMAC ST STE 114",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124529",
            "telephone_number": "408-981-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCOMINI",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-05",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0020690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; 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.