Active NPI
Bert Ryan Reitsma, PT
- Physical Therapist
- Chipley, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT13831
- Practice address
- 1567 Main St
Chipley, FL 32428-6948 - Phone
- (850) 638-3387
- Fax
- (850) 415-1967
- NPI assigned
- Nov 21, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2421 | MN | |
| Physical Therapist | 225100000X | PT13831 | FL | Primary |
Addresses
Primary practice location
1567 Main St
Chipley, FL 32428-6948
Mailing address
32 Howell Bluff Rd
Ponce de Leon, FL 32455-4632
Phone (941) 228-9134
Other practice location 1
32 Howell Bluff Rd
Ponce DE Leon, FL 32455-4632
Phone (941) 228-9134
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2421 | Other | MN | PT LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Minnesota Medical School, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1567 Main St
Chipley, FL 32428-6948
Phone 8506383387105
4285 Lafayette St
Marianna, FL 32446-2919
Phone (850) 482-0080
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT13831 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marianna Physical & Aquatic Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Chipley Physical Therapy, Inc | Physical Therapist | Current | Accepting new patients |
| Chipley Physical Therapy Inc | Physical Therapist | Current | Accepting new patients |
| Absolute Physical & Aquatic Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Well Body Clinic Inc | Physical Therapist | Past | Accepting new patients |
| United Outreach Inc | Physical Therapist | Past | Accepting new patients |
Locations
1567 Main St
Chipley, FL 32428
Phone (850) 638-3387
4285 Lafayette St
Marianna, FL 32446
Phone (850) 482-0080
Organizations & group practices 6
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 Therapist
- Chipley, FL
- NPI 1689723777
-
- Physical Medicine & Rehabilitation Physician
- Marianna, FL
- NPI 1679051437
Physical Therapist
-
- Physical Therapist
- Chipley, FL
- NPI 1235470782
-
dba Absolute Therapy
- Physical Therapist
- Panama City, FL
- NPI 1073857298
-
- Physical Therapist
- Coral Springs, FL
- NPI 1942319884
-
- Physical Therapist
- Bradenton, FL
- NPI 1225143738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1760557094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 HOWELL BLUFF RD",
"city": "PONCE DE LEON",
"state": "FL",
"postal_code": "324554632",
"telephone_number": "941-228-9134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1567 MAIN ST",
"city": "CHIPLEY",
"state": "FL",
"postal_code": "324286948",
"telephone_number": "850-638-3387",
"fax_number": "850-415-1967"
}
],
"practiceLocations": [
{
"address_1": "32 Howell Bluff Rd",
"address_purpose": "LOCATION",
"city": "Ponce DE Leon",
"state": "FL",
"postal_code": "324554632",
"country_code": "US",
"telephone_number": "941-228-9134",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REITSMA",
"first_name": "BERT",
"middle_name": "RYAN",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "2421",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT13831",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT LICENSE",
"identifier": "2421",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chipley, FL
- Annette Griffin Porter, M.D.
- Precision Eye Care LTD
- Alesha Patton Pridgen
- Amy Rackard, NP-C
- Stephine Ramsey
- Renal Treatment Centers-Southeast, LP. (Chipley Dialysis)
- Restore Therapy and Wellness, Inc. (Coastal Fitness & Rehablilitation Center)
- Carla S Rhynes-Campbell, RCSWI
- Robert W Snare MD PA (Robert W Snare MD)
- Kevin Michael Rollins, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.