Active NPI
Richard L Ross IV, P.T.A.
- Physical Therapy Assistant
- Pensacola, FL
National Provider Identifier
1699359802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 9724
- Practice address
- 7830 Pine Forest Rd FL 32526
Pensacola, FL 32526-8404 - Phone
- (850) 941-5000
- NPI assigned
- May 12, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | 9724 | FL | Primary |
Addresses
Primary practice location
7830 Pine Forest Rd FL 32526
Pensacola, FL 32526-8404
Mailing address
4344 Langley Ave Ste Apt H145
Pensacola, FL 32504-8554
Phone (850) 454-9607
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": "1620777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1699359802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4344 LANGLEY AVE STE APT H145",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325048554",
"telephone_number": "850-454-9607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7830 PINE FOREST RD FL 32526",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325268404",
"telephone_number": "850-941-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "RICHARD",
"middle_name": "L",
"name_prefix": "Mr.",
"name_suffix": "IV",
"credential": "P.T.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-12",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "FL",
"license": "9724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.