Provider Demographics
NPI:1780093468
Name:MARKHAM, RIKKI (PT)
Entity type:Individual
Prefix:
First Name:RIKKI
Middle Name:
Last Name:MARKHAM
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:RIKKI
Other - Middle Name:
Other - Last Name:VERSTEEG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:169 MADISON AVE STE 15501
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-5101
Mailing Address - Country:US
Mailing Address - Phone:385-308-8034
Mailing Address - Fax:
Practice Address - Street 1:923 ZAFIRO RD SE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87124-5055
Practice Address - Country:US
Practice Address - Phone:907-518-0540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-07
Last Update Date:2025-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA308393225100000X
PAPT033414225100000X
HIPT-6195225100000X
OR60628225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR0329393OtherWA L&I
OR0329391OtherWA L&I
OR500675196Medicaid
OR0329391OtherWA L&I
ORR177563Medicare PIN