Active NPI
Adam Ricks
- Physical Therapist
- Bakersfield, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT42940
- Practice address
- 4717 Alden CT
Bakersfield, CA 93311-1272 - Phone
- (661) 448-3800
- NPI assigned
- Aug 20, 2015
- Last updated
- Aug 20, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT42940 | CA | Primary |
Addresses
Primary practice location
4717 Alden CT
Bakersfield, CA 93311-1272
Mailing address
4717 Alden CT
Bakersfield, CA 93311-1272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4300 Stine Rd
Suite 108
Bakersfield, CA 93313-2352
Phone (661) 834-2300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42940 | CA | MD | General Practice Dentistry |
| PT42940 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bakersfield Sports Medicine and Rehabilitative Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
Locations
3500 Coffee Rd
Ste A
Bakersfield, CA 93308
Phone (661) 589-6700
4300 Stine Rd
Ste 108
Bakersfield, CA 93313
Phone (661) 834-2300
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bakersfield Sports Medicine And Rehabilitative Therapy
- Physical Therapist
- Bakersfield, CA
- NPI 1598872376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440028800000",
"number": "1679949994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4717 ALDEN CT",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933111272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4717 ALDEN CT",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933111272",
"telephone_number": "661-448-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKS",
"first_name": "ADAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-20",
"last_updated": "2015-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT42940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bakersfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.