Benjamin Alan Rickert, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

P13884 Issued in NC

Practice address

594 Centennial Dr
Cullowhee, NC 28723-1589

Phone

(828) 550-3923

Fax

(828) 354-0209

NPI assigned

Aug 25, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Smoky Mountain Sports Medicine and Physical Therapy, Inc.Group PAC ID 6002180387, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Smoky Mountain Sports Medicine & Physical Therapy, Inc.

  • Physical Therapist
  • Sylva, NC
  • NPI 1710419619

  NC, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Custom Nutrition & Wellness LLC

  • Registered Dietitian
  • Cullowhee, NC
  • NPI 1538768577
  NPD

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1679940746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 E MAIN ST STE A",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287793030",
            "telephone_number": "828-631-3009",
            "fax_number": "828-354-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "594 CENTENNIAL DR",
            "city": "CULLOWHEE",
            "state": "NC",
            "postal_code": "287231589",
            "telephone_number": "828-550-3923",
            "fax_number": "828-354-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKERT",
        "first_name": "BENJAMIN",
        "middle_name": "ALAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-25",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P13884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Quintero Mejia
• Vanesa Ramirez
• Julia Rosemary Reardon
• Kelly Anne Reece
• Hanna Reinhart
• Benjamin Scott Riddle
• Annette Lea Rockwell, SLP
• Kellie Grace Rogers, LCMHCA
• Amy Janice Rose, M.A., CCC-SLP
• Autumn Lenora Rumley

• All providers in Cullowhee, NC
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.