Heidi Tanya Ricks, C.O.T.A./L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

201701 Issued in MN

Practice address

6636 Cedar Ave S
Minneapolis, MN 55423-2705

Phone

(612) 467-4610

NPI assigned

Sep 13, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1912289125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 43RD AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061821",
            "telephone_number": "612-590-1537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6636 CEDAR AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554232705",
            "telephone_number": "612-467-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKS",
        "first_name": "HEIDI",
        "middle_name": "TANYA",
        "name_prefix": "Mrs.",
        "credential": "C.O.T.A./L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MN",
            "license": "201701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth A Rickards, L.I.C.S.W.
• Casey Allen Ricker, MD
• Susan M Ricker, LICSW
• Kendall Dewayne Ricklefs, D.O.
• Benjamin Ricks, D.D.S.
• Marlon D Riddley Jr.
• Ride Care Tansportation Services LLC
• Ride-a-Long Transportation Inc
• Gloria Nicole Rider
• Alvaro Ridge Barcia

• Occupational Therapy Assistant in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Occupational Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.