Active NPI
Somerville Ricker
- Pediatric Physical Therapist
- Gaithersburg, MD
National Provider Identifier
1649196866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 30910
- Practice address
- 362 Christopher Ave
Gaithersburg, MD 20879-3613 - Phone
- (240) 410-3209
- NPI assigned
- Jun 24, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 30910 | MD | Primary |
Addresses
Primary practice location
362 Christopher Ave
Gaithersburg, MD 20879-3613
Mailing address
362 Christopher Ave
Gaithersburg, MD 20879-3613
Phone (240) 410-3209
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786492800000",
"number": "1649196866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "362 CHRISTOPHER AVE",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208793613",
"telephone_number": "240-410-3209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "362 CHRISTOPHER AVE",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208793613",
"telephone_number": "240-410-3209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKER",
"first_name": "SOMERVILLE",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-06-24",
"last_updated": "2026-08-12",
"certification_date": "2026-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "MD",
"license": "30910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.