Active NPI
Peggy Rene Risch, RPT
- Physical Therapist
- Mount Shasta, CA
National Provider Identifier
1922248590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT9136
- Practice address
- 206 Roelofs CT
Suite C
Mount Shasta, CA 96067-2761 - Phone
- (530) 261-1344
- NPI assigned
- Feb 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225100000X | PT9136 | CA | Primary |
Addresses
Primary practice location
206 Roelofs CT
Suite C
Mount Shasta, CA 96067-2761
Mailing address
PO Box 882
Mount Shasta, CA 96067-2761
Phone (530) 261-1344
Other names 1
- Ms. Peggy Rene Risch
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 |
|---|---|---|---|
| PT9136 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238371200000",
"number": "1922248590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 882",
"city": "MOUNT SHASTA",
"state": "CA",
"postal_code": "960672761",
"telephone_number": "530-261-1344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 ROELOFS CT",
"address_2": "SUITE C",
"city": "MOUNT SHASTA",
"state": "CA",
"postal_code": "960672761",
"telephone_number": "530-261-1344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RISCH",
"first_name": "PEGGY",
"middle_name": "RENE",
"name_prefix": "Ms.",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-23",
"last_updated": "2009-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT9136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PEGGY",
"last_name": "RISCH",
"middle_name": "RENE",
"prefix": "MS.",
"credential": "RPT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Mount Shasta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.