DR. RICKY JOHN BASTARACHE (MSPT DPT) – Physical Therapist, NPI 1598742397

DR. RICKY JOHN BASTARACHE (MSPT DPT) is a healthcare provider. based in Swartz creek, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MSPT DPT. They hold a License No. 5501007536 (MI). The NPI Number for DR. RICKY JOHN BASTARACHE (MSPT DPT) is 1598742397

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. RICKY JOHN BASTARACHE (MSPT DPT)
NPI
1598742397
Phone
(810) 655-8244
Address
6012 LINDEN RD STE 15
Enumeration Date
22 December 2005
Last Update Date
16 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5175401060
Graduation Year
2005 (21 years ago)
PAC ID
4789699190
Group Practice PAC ID
3870488521
Professional Enrollment ID
I20060208000025
Address ID
MI488436538HO4128XAVEX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

Provider Addresses for DR. RICKY JOHN BASTARACHE (MSPT DPT)

  • 6012 LINDEN RD STE 15

    SWARTZ CREEK, MI 484738889

    Phone: (810) 655-8244

    Fax: (810) 655-2192

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-02-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060208000025IPhysical Therapist In Private PracticeMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1,36969$0
97140Therapy procedure using manual technique, each 15 minutes51462$0
97530Therapy procedure using functional activities39047$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes33448$0
97150Therapy procedure in a group setting16134$0
View full utilization report →

Insurance plans in this area (ZIP 48473)

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Provider's Procedures

DR. RICKY JOHN BASTARACHE (MSPT DPT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYMI97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes104474

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870488521View full group profile
NameSpecialtyState
-MI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Occupational Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
-MI
Physical Therapist In Private PracticeMI
Occupational Therapist In Private PracticeIL
Occupational Therapist In Private PracticeMI

Reviews

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Frequently asked questions

How do payers reference DR. RICKY JOHN BASTARACHE (MSPT DPT)?
For DR. RICKY JOHN BASTARACHE (MSPT DPT), use NPI 1598742397 as the unique 10-digit identifier.
Active or inactive — what applies to DR. RICKY JOHN BASTARACHE (MSPT DPT)?
You should see DR. RICKY JOHN BASTARACHE (MSPT DPT) as active in CMS-hosted NPPES data.
What kind of doctor is DR. RICKY JOHN BASTARACHE (MSPT DPT)?
DR. RICKY JOHN BASTARACHE (MSPT DPT) is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. RICKY JOHN BASTARACHE (MSPT DPT)?
Directory geography for DR. RICKY JOHN BASTARACHE (MSPT DPT) centers on Swartz Creek, Michigan.
Can I trust this NPI listing for DR. RICKY JOHN BASTARACHE (MSPT DPT)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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