Ricardo Felix Vazquez, PTA, NREMT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A1957 Issued in MN

Practice address

2300 Spruce PL
White Bear Lake, MN 55110-4871

Phone

(651) 788-2881

NPI assigned

Feb 6, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486339200000",
    "number": "1962940320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 SPRUCE PL",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551104871",
            "telephone_number": "651-788-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SPRUCE PL",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551104871",
            "telephone_number": "651-788-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "RICARDO",
        "middle_name": "FELIX",
        "name_prefix": "Mr.",
        "credential": "PTA, NREMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "MN",
            "license": "E3018291",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A1957",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2115596",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Vang
• Tong Vang
• Yinkong Pisheon Vang
• Jenna Vargas, BCBA
• Amanda Jean Vaske, MA, LMFT
• Rosalynn Vertiz-Hackett, PA
• Mary Ellen Louise Vidovic, LICSW
• Vision Quest Property Management, Inc.
• Christopher Voeller
• Michael Joseph Volgman-Mercuri

• Physical Therapy Assistant in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.