Angela Marie Rickabaugh, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070012611 Issued in IL

Practice address

2720 Sunset Blvd
West Columbia, SC 29169-4810

Phone

(803) 791-2000

NPI assigned

Oct 19, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Accelerated Rehabilitation Centers LTD

  • Physical Therapist
  • Westmont, IL
  • NPI 1205875713
  NPD (past)
• Chicago Area Rehabilitation Experts, Inc

  • Physical Therapist
  • Chicago, IL
  • NPI 1053495309
  NPD (past)
• Hands-on Sports Medicine Limited Partnership

  • Physical Therapist
  • Chicago, IL
  • NPI 1649384785
  NPD (past)
• Hands-on Sports Medicine Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Chicago, IL
  • NPI 1720293319
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1821170127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 HULON LANE",
            "address_2": "ATTN: VP OF REVENUE CYCLE",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694810",
            "telephone_number": "803-791-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 SUNSET BLVD",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694810",
            "telephone_number": "803-791-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2828 N Clark St",
            "address_2": "Suite 309",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606575775",
            "country_code": "US",
            "telephone_number": "773-525-0190",
            "fax_number": "773-525-0583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICKABAUGH",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070012611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01623654",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mario Richard, NP
• William C Richards, MD
• Ryan Phillip Richardson, MD
• Richland Medical Services & Supplies
• James A Richter, MD
• Larry D Rickborn, D.M.D
• Alesia Denise Ricks, CRNA
• Rebecca Brazell Ridenhour, M.D.
• Shelby Rider
• Thayra Rios Schad, PHARMD

• Physical Therapist in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.