Active NPI
Anita Ricka, P.T.
- Physical Therapist
- Albuquerque, NM
National Provider Identifier
1952773616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1521
- Practice address
- 4701 Montgomery Blvd NE
Albuquerque, NM 87109-1219 - Phone
- (505) 727-4628
- Fax
- (505) 727-9515
- NPI assigned
- Oct 21, 2015
- Sex
- Female
- 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 Therapist | 225100000X | 1521 | NM | Primary |
Addresses
Primary practice location
4701 Montgomery Blvd NE
Albuquerque, NM 87109-1219
Mailing address
4716 Haines Ave NE
Albuquerque, NM 87110-5007
Phone (505) 715-8386
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 |
|---|---|---|---|
| 1521 | NM | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445385600000",
"number": "1952773616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4716 HAINES AVE NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871105007",
"telephone_number": "505-715-8386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 MONTGOMERY BLVD NE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871091219",
"telephone_number": "505-727-4628",
"fax_number": "505-727-9515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKA",
"first_name": "ANITA",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-21",
"last_updated": "2015-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "1521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.