Individual provider Active NPI

Ricardo A Fernandez, PT

  • Physical Therapist
  • Leesburg, FL
National Provider Identifier
1902941859
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT42876 Issued in FL
Practice address
701 N 14TH St Ste 1
Leesburg, FL 34748-4205
Phone
(352) 314-3874
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTPPTLIC19493 MT
Physical Therapist 225100000X 070005926 IL
Physical Therapist 225100000X PT42876 FL Primary

Addresses

Primary practice location

701 N 14TH St Ste 1
Leesburg, FL 34748-4205

Mailing address

701 N 14TH St Ste 1
Leesburg, FL 34748-4205
Phone (352) 314-3874

Other practice location 1

25 Heritage Way
Kalispell, MT 59901-3100
Phone (406) 407-7990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230609002172 MT Practitioner - Physical Therapist in Private Practice 2264614908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Rehab IncGroup PAC ID 4587636600, 26 clinicians

Practice addresses (Care Compare)

25 Heritage Way
Kalispell, MT 59901-3100
Phone (406) 752-3597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PT42876FLMDPhysical Therapist
070005926ILMDPhysical Therapist
PTPPTLIC19493MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Rehab Inc Physical Therapist CurrentSince May 1, 2023 Accepting new patients
Orthopedic Rehab Inc Physical Therapist CurrentSince May 1, 2023 Accepting new patients

Locations

7935 MT Highway 35
Ste 203
Bigfork, MT 59911
Phone (406) 837-2458

500 12th Ave W
Ste 2F
Columbia Falls, MT 59912
Phone (406) 892-0681

201 Southside Blvd
Dillon, MT 59725
Phone (406) 683-3675

25 Heritage Way
Kalispell, MT 59901
Phone (406) 407-7990

30 Lower Valley Rd
Kalispell, MT 59901
Phone (406) 300-4847

1111 Baker Ave
Uppr
Whitefish, MT 59937
Phone (406) 407-7990

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1902941859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N 14TH ST STE 1",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484205",
            "telephone_number": "352-314-3874",
            "fax_number": "352-314-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N 14TH ST STE 1",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347484205",
            "telephone_number": "352-314-3874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Heritage Way",
            "address_purpose": "LOCATION",
            "city": "Kalispell",
            "state": "MT",
            "postal_code": "599013100",
            "country_code": "US",
            "telephone_number": "406-407-7990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "RICARDO",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTPPTLIC19493",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070005926",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT42876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; 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.

Verify at the official NPI Registry.