Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ricky John Bastarache, MSPTDPT

Individual provider Physical Therapist · NPI 1598742397

Dr. Ricky John Bastarache, MSPTDPT is a Physical Therapist in Private Practice in Swartz Creek, Michigan. Qualified in 2005, 21 years ago. Practices with Plymouth Physical Therapy Specialists Limited Partnership, a 67-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
21
Licensed in
MI
In the registry since
2005

Practice location Address checks out

6012 Linden Rd Ste 15
Swartz Creek, MI 48473-8889
Phone: (810) 655-8244
Fax: (810) 655-2192
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501007536 (MI)

Record details

NPI number1598742397
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPTDPT
Sole proprietorNo
NPI enumeratedDecember 22, 2005
Last updated in NPPESOctober 16, 2020
Certification dateOctober 16, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Plymouth Physical Therapy Specialists Limited Partnership — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Swartz Creek