Individual provider · Type 1 NPI
Somerville Ricker
Pediatric Physical Therapist · Gaithersburg, MD
Practice location
362 Christopher Ave
Gaithersburg, MD 20879-3613
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 30910 (MD) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
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About NPI 1649196866
Somerville Ricker's National Provider Identifier is 1649196866, issued on Jun 24, 2026. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Gaithersburg, MD. The record was last updated on Aug 12, 2026.