Jamie Lynn Ricketts, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501010869 Issued in MI

Practice address

4955 East Beltline Ave NE
Suite a
Grand Rapids, MI 49525

Phone

(616) 447-4090

Fax

(616) 447-4098

NPI assigned

Oct 26, 2006

Last updated

Apr 11, 2008By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ambulatory United

  • Surgery Physician
  • Greenville, MI
  • NPI 1033440565
  NPD (past)
• Ramin Rahimi D.O.

  • Physical Therapist
  • Grand Rapids, MI
  • NPI 1326236027
  NPD (past)
• West Michigan Heart

  • Cardiovascular Disease Physician
  • Grand Rapids, MI
  • NPI 1174504021
  NPD (past)
• West Michigan Rehab PLLC

  dba West Michigan Rehab & Pain Center

  • Physical Medicine & Rehabilitation Physician
  • Grand Rapids, MI
  • NPI 1851588859

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1871678615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 WALWOOD DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495055944",
            "telephone_number": "616-447-4090",
            "fax_number": "616-447-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 EAST BELTLINE AVE NE",
            "address_2": "SUITE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49525",
            "telephone_number": "616-447-4090",
            "fax_number": "616-447-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKETTS",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501010869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2554102735",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Marie Richter, LLMSW
• Anthony J Richtsmeier, MD
• Rick R. Dayton, DDS
• Juliette Katherine Rickel
• Hayley Rickert
• Jeffrey M Ricketts, DO
• Heather Lynne Rickle, PHARM. D.
• Tekia Elaine Ricumstrict, PA-C
• Alyssa Ridder
• Brittany Ridge, RN

• Physical Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; 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.