MEDICARE: DR. RICKY JOHN BASTARACHE MSPT DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	5501007536	MI

General Provider Information

NPI Number	:	1598742397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICKY JOHN BASTARACHE MSPT DPT

Provider Business Mailing Address
First Line	:	6012 LINDEN RD STE 15
Second Line	:
City	:	SWARTZ CREEK
State	:	MI
Zip	:	48473-8889
Country	:	US
Telephone Number	:	810-655-8244
Fax Number	:	810-655-2192

Provider Business Practice Location Address
First Line	:	6012 LINDEN RD STE 15
Second Line	:
City	:	SWARTZ CREEK
State	:	MI
Zip	:	48473-8889
Country	:	US
Telephone Number	:	810-655-8244
Fax Number	:	810-655-2192

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2005
Last Update Date	:	10/16/2020

Similar Medicare Providers

1669840740 — JOHNNY WATKINS JR. DPT
Practice Location Address:

6012 SOUTH LINDEN ROAD , UNIT 15 MONTICELLO CENTER
SWARTZ CREEK, MI
48473-8889

Practice Phone: 810-655-8244
Practice Fax: 810-655-2192

1003417395 — PLYMOUTH PHYSICAL THERAPY SPECIALISTS LIMITED PARTNERSHIP
Practice Location Address:

6012 LINDEN RD STE 15
SWARTZ CREEK, MI
48473-8889

Practice Phone: 810-655-8244
Practice Fax: 810-655-2192

1942024377 — ANTHONY BLAINE VANHORN PT, DPT
Practice Location Address:

6012 LINDEN RD STE 15
SWARTZ CREEK, MI
48473-8889

Practice Phone: 810-655-8244
Practice Fax: 810-655-2192

1174693899 — RIVERBEND SERVICES,INC
Practice Location Address:

4195 S CREEK RD
ORRUM, NC
28369-8889

Practice Phone: 910-618-9260
Practice Fax: 919-737-6505

1770563751 — ERROL BROWN DC
Practice Location Address:

6193 MILLER RD , SUITE B
SWARTZ CREEK, MI
48473

Practice Phone: 810-630-1937
Practice Fax: 810-695-5064

1851368146 — MRS. GLENDA VICTORA LOCKE M.A. C.C.C. S.L.P
Practice Location Address:

9070 LINDEN RD
SWARTZ CREEK, MI
48473-9115

Practice Phone: 810-655-8296
Practice Fax:

Directions to “ DR. RICKY JOHN BASTARACHE MSPT DPT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.