Active NPI
Richard Rhodenbaugh II, PTA
- Physical Therapy Assistant
- Livingston, TN
National Provider Identifier
1841766888
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 6987
- Practice address
- 318 Bilbrey St
Livingston, TN 38570-1706 - Phone
- (931) 823-6403
- NPI assigned
- Oct 17, 2018
- Sex
- Male
- 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 Therapy Assistant | 225200000X | 6987 | TN | Primary |
Addresses
Primary practice location
318 Bilbrey St
Livingston, TN 38570-1706
Mailing address
800 E Spring St Apt D12
Cookeville, TN 38501-4532
Phone (812) 821-5738
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6987 | TN | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539734400000",
"number": "1841766888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 E SPRING ST APT D12",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385014532",
"telephone_number": "812-821-5738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 BILBREY ST",
"city": "LIVINGSTON",
"state": "TN",
"postal_code": "385701706",
"telephone_number": "931-823-6403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODENBAUGH",
"first_name": "RICHARD",
"name_suffix": "II",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-17",
"last_updated": "2018-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TN",
"license": "6987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livingston, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.