Active NPI
Brittany Ricciardi, DPT
- Physical Therapist
- Goodyear, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11452
- Practice address
- 14535 W Indian School Rd Suite 100
Goodyear, AZ 85395-9262 - Phone
- (623) 242-6908
- NPI assigned
- Mar 12, 2015
- Last updated
- Oct 9, 2018
- Sex
- Female
- 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 | 11452 | AZ | Primary |
Addresses
Primary practice location
14535 W Indian School Rd Suite 100
Goodyear, AZ 85395-9262
Mailing address
14430 N 41St CT
Phoenix, AZ 85032-5411
Other names 1
- Brittany Deroche
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11452 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Orthopedic Physical Therapy, PLLC | Current | Accepting new patients | |
| Landmark Physical Therapy, PLLC | Physical Therapist | Past | Accepting new patients |
Locations
23350 W Yuma Rd
Buckeye, AZ 85326
Phone (623) 547-5260
14535 W Indian School Rd
Ste 100
Goodyear, AZ 85395
Phone (623) 734-5544
14557 W Indian School Rd
Ste 500
Goodyear, AZ 85395
Phone (623) 229-7808
14557 W Indian School Rd
Ste 500B
Goodyear, AZ 85395
2302 N 15th Ave
Phoenix, AZ 85007
Phone (602) 265-4124
2650 E McDowell Rd
Phoenix, AZ 85008
Phone (508) 638-1172
1781 E State Route 69
Ste 28
Prescott, AZ 86301
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Goodyear, AZ
- NPI 1851490627
-
- Physical Therapist
- Scottsdale, AZ
- NPI 1437471513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1689067811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14430 N 41ST CT",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850325411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14535 W INDIAN SCHOOL RD SUITE 100",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853959262",
"telephone_number": "623-242-6908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICCIARDI",
"first_name": "BRITTANY",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-12",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "11452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRITTANY",
"last_name": "DEROCHE",
"credential": "DPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.