Gregory Edward Rickenbacker, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12615050-2401 Issued in UT

Practice address

370 E South Temple Ste 150
Salt Lake City, UT 84111-1279

Phone

(801) 521-9222

NPI assigned

Dec 30, 2021

Sex

Male

Sole proprietor

No

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

Enrolled in UT

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

84.72 of 100Reported as group

Quality

86.53

Improvement activities

40

Cost

67.04

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gregory.rickenbacker.1@16923.direct.athenahealth.com

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.

• Back at Work of Utah LLC

  • Physical Therapist
  • Clearfield, UT
  • NPI 1902423049
  Medicare reassignment NPD
• Mountain Land Rehabilitation LLC

  • Physical Therapist
  • Salt Lake City, UT
  • NPI 1265549372
  NPD (past)
• Mountain Land Sports & Orthopedic Physical Therapy of Santaquin LC

  • Physical Therapist
  • Santaquin, UT
  • NPI 1356458467
  NPD (past)
• Therapy West LLC

  • Physical Therapist
  • Gunnison, UT
  • NPI 1184678070
  NPD (past)

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1962162073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 E 3745 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841062443",
            "telephone_number": "978-886-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E SOUTH TEMPLE STE 150",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841111279",
            "telephone_number": "801-521-9222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3225 W Gordon Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840415728",
            "country_code": "US",
            "telephone_number": "801-497-0800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2295 S Foothill Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841094006",
            "country_code": "US",
            "telephone_number": "801-846-7542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29 S Main St",
            "address_purpose": "LOCATION",
            "city": "Tooele",
            "state": "UT",
            "postal_code": "840742158",
            "country_code": "US",
            "telephone_number": "435-843-7466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1477 N 2000 W Ste A",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "UT",
            "postal_code": "840159099",
            "country_code": "US",
            "telephone_number": "801-773-4191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "349 12th St",
            "address_purpose": "LOCATION",
            "city": "Ogden",
            "state": "UT",
            "postal_code": "844045712",
            "country_code": "US",
            "telephone_number": "801-782-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1188 W Sportsplex Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Kaysville",
            "state": "UT",
            "postal_code": "840376816",
            "country_code": "US",
            "telephone_number": "801-547-1155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Millpond Ste 1069",
            "address_purpose": "LOCATION",
            "city": "Stansbury Park",
            "state": "UT",
            "postal_code": "840749745",
            "country_code": "US",
            "telephone_number": "435-882-4144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "416 N State Road 198",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "UT",
            "postal_code": "846534605",
            "country_code": "US",
            "telephone_number": "801-423-8600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "94 W Main St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Santaquin",
            "state": "UT",
            "postal_code": "846555584",
            "country_code": "US",
            "telephone_number": "801-754-5700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3072 W 300 N Ste A",
            "address_purpose": "LOCATION",
            "city": "West Point",
            "state": "UT",
            "postal_code": "840153914",
            "country_code": "US",
            "telephone_number": "801-825-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2572 E South Weber Dr Ste 5",
            "address_purpose": "LOCATION",
            "city": "South Weber",
            "state": "UT",
            "postal_code": "844059550",
            "country_code": "US",
            "telephone_number": "801-479-7045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1122 Center Dr Ste D350",
            "address_purpose": "LOCATION",
            "city": "Park City",
            "state": "UT",
            "postal_code": "840986908",
            "country_code": "US",
            "telephone_number": "435-383-2026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "74 E 500 S Ste 104",
            "address_purpose": "LOCATION",
            "city": "Bountiful",
            "state": "UT",
            "postal_code": "840106200",
            "country_code": "US",
            "telephone_number": "801-292-5011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5872 S 900 E Ste 150",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841211679",
            "country_code": "US",
            "telephone_number": "801-747-3889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4624 S Holladay Blvd",
            "address_purpose": "LOCATION",
            "city": "Holladay",
            "state": "UT",
            "postal_code": "841177054",
            "country_code": "US",
            "telephone_number": "801-277-1028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1153 E 3900 S",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841241201",
            "country_code": "US",
            "telephone_number": "801-262-6331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "885 E 9400 S",
            "address_purpose": "LOCATION",
            "city": "Sandy",
            "state": "UT",
            "postal_code": "840943670",
            "country_code": "US",
            "telephone_number": "801-562-0066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2532 S 5600 W",
            "address_purpose": "LOCATION",
            "city": "West Valley",
            "state": "UT",
            "postal_code": "841201247",
            "country_code": "US",
            "telephone_number": "801-415-6882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1227 W 9000 S Ste F",
            "address_purpose": "LOCATION",
            "city": "West Jordan",
            "state": "UT",
            "postal_code": "840889010",
            "country_code": "US",
            "telephone_number": "801-282-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2950 N Church St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Layton",
            "state": "UT",
            "postal_code": "840406590",
            "country_code": "US",
            "telephone_number": "801-574-9462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICKENBACKER",
        "first_name": "GREGORY",
        "middle_name": "EDWARD",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "12615050-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Tyler Richins
• Nathaniel K Richins, DO
• Andrea Dara Richmond, CSW
• Kailey Ann Richner, PHD
• Faith Rae Richtsmeier
• Hollis Anne Ricker, PA-C
• Andrea Rickett
• April Ricks
• Casandra Carissa Ricks
• Cortney Robyn Ricks, CSW

• Physical Therapist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Physical Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.