Active NPI
Mary Elise Ricker
- Physical Therapist
- Holmdel, NJ
National Provider Identifier
1750826459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 40QA01711600
- Practice address
- 4 Donner St
Holmdel, NJ 07733-2004 - Phone
- (732) 241-5476
- NPI assigned
- Jan 4, 2017
- 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 | 40QA01711600 | NJ | Primary |
Addresses
Primary practice location
4 Donner St
Holmdel, NJ 07733-2004
Mailing address
4 Donner St
Holmdel, NJ 07733-2004
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 |
|---|---|---|---|
| 40QA01711600 | NJ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658448000000",
"number": "1750826459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 DONNER ST",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077332004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 DONNER ST",
"city": "HOLMDEL",
"state": "NJ",
"postal_code": "077332004",
"telephone_number": "732-241-5476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKER",
"first_name": "MARY",
"middle_name": "ELISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-04",
"last_updated": "2022-07-22",
"certification_date": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA01711600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holmdel, NJ
- Timothy Patrick Regan, D.D.S
- Regional Cancer Care Associates
- Regional Women'S Health Group, LLC
- Alexandra Reverendo, MPH, IBCLC
- Richmond Comprehensive Health LLC
- RMW Healthcare Services LLC
- Sheryl Ann Roach, LPC
- Robert Krotenberg, M.D., LLC
- Samantha R. Roberts, PT, DPT
- Robinson-Gallaro Gastroenterology Associates LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.