Individual provider Active NPI

Jackie Righetti, LPT

  • Physical Therapist
  • Winter Haven, FL
National Provider Identifier
1558555920
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT005229L Issued in PA
Practice address
101 Overlook Dr
Winter Haven, FL 33884-3381
Phone
(412) 600-4526
NPI assigned
Aug 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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 PT005229L PA Primary

Addresses

Primary practice location

101 Overlook Dr
Winter Haven, FL 33884-3381

Mailing address

907 Hickory Hill Dr
Lakeland, FL 33815-4151
Phone (412) 600-4526

Other practice location 1

1200 Braun Rd
Bethel Park, PA 15102-3106
Phone (412) 854-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT005229LPAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1558555920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 HICKORY HILL DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338154151",
            "telephone_number": "412-600-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OVERLOOK DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338843381",
            "telephone_number": "412-600-4526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Braun Rd",
            "address_purpose": "LOCATION",
            "city": "Bethel Park",
            "state": "PA",
            "postal_code": "151023106",
            "country_code": "US",
            "telephone_number": "412-854-5500",
            "fax_number": "415-854-4742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIGHETTI",
        "first_name": "JACKIE",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2020-09-01",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT005229L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.