Active NPI
Nicholas Scott Rietveld, DPT
- Physical Therapist
- Punta Gorda, FL
National Provider Identifier
1639713548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT35274
- Practice address
- 900 Tamiami TRL Unit 111
Punta Gorda, FL 33950-5513 - Phone
- (941) 347-3650
- NPI assigned
- Nov 4, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT35274 | FL | Primary |
Addresses
Primary practice location
900 Tamiami TRL Unit 111
Punta Gorda, FL 33950-5513
Mailing address
1041 Somerset St
Port Charlotte, FL 33952-1221
Phone (941) 258-0501
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Nicholas.Rietveld@fyzical.com | Direct |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT35274 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edge Physical Therapy | Physical Therapist | Past | Accepting new patients |
Interoperability endpoints
- nicholas.rietveld@fyzical.com
Organizations & group practices 1
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": "1572825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1639713548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 SOMERSET ST",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "339521221",
"telephone_number": "941-258-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 TAMIAMI TRL UNIT 111",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339505513",
"telephone_number": "941-347-3650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIETVELD",
"first_name": "NICHOLAS",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-04",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT35274",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Nicholas.Rietveld@fyzical.com",
"affiliation": "N",
"endpointDescription": "business email address.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "900 Tamiami Trl Unit 111",
"city": "Punta Gorda",
"state": "FL",
"country_code": "US",
"postal_code": "339505513",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Punta Gorda, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.