Ricky Buchholz, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA14674 Issued in FL

Practice address

465 S Lawrence Blvd
Keystone Heights, FL 32656-9222

Phone

(352) 473-7560

Fax

(352) 473-7560

NPI assigned

Mar 14, 2012

Last updated

Mar 14, 2012By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1689949364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 S LAWRENCE BLVD",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "326569222",
            "telephone_number": "352-473-7560",
            "fax_number": "352-473-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 S LAWRENCE BLVD",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "326569222",
            "telephone_number": "352-473-7560",
            "fax_number": "352-473-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHHOLZ",
        "first_name": "RICKY",
        "name_prefix": "Mr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA14674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donnette N. Beard, L.M.T.
• Alicia A Bellman
• Laurie Ann Buttry, LMT
• Christopher Caradonna, PHARMD
• Marissa Catlin-Evans, MPT
• Sherry Denise Chapman, PHARM.D.
• Clay Behavioral Health Center, Inc.

• Physical Therapy Assistant in Keystone Heights, FL
• Providers in Keystone Heights, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.