Active NPI
Odia Elaine Riche, MSPT
- Physical Therapist
- Wellington, FL
National Provider Identifier
1700899424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT20064
- Practice address
- 3581 Lago de Talavera
Wellington, FL 33467-1072 - Phone
- (561) 827-6157
- Fax
- (561) 433-1600
- NPI assigned
- Aug 14, 2006
- Sex
- Female
- 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 Therapist | 225100000X | PT20064 | FL | Primary |
Addresses
Primary practice location
3581 Lago de Talavera
Wellington, FL 33467-1072
Mailing address
3581 Lago de Talavera
Wellington, FL 33467-1072
Phone (561) 827-6157
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 887322400 | Medicaid | FL |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT20064 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Rehab Services, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Lake Worth, FL
- NPI 1932345816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312243200000",
"number": "1700899424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3581 LAGO DE TALAVERA",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334671072",
"telephone_number": "561-827-6157",
"fax_number": "561-433-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3581 LAGO DE TALAVERA",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334671072",
"telephone_number": "561-827-6157",
"fax_number": "561-433-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHE",
"first_name": "ODIA",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2011-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT20064",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "887322400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.