Individual provider Active NPI

Richmond Sarpong

  • Physical Therapist
  • Bowie, MD
National Provider Identifier
1023713005
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29239 Issued in MD
Practice address
4000 Mitchellville Rd Ste B222
Bowie, MD 20716-3148
Phone
(301) 464-3775
Fax
(301) 358-3211
NPI assigned
Mar 31, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 29329 MD
Physical Therapist 225100000X 29239 MD Primary

Addresses

Primary practice location

4000 Mitchellville Rd Ste B222
Bowie, MD 20716-3148

Mailing address

PO Box 356
Burtonsville, MD 20866-0356
Phone (301) 421-1125

Other practice location 1

9500 Medical Center Dr Ste 300
Largo, MD 20774-3714
Phone (301) 263-3605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29329MDMDPharmacist
29239MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Made to Move LLC Dba Forever Fit Physical Therapy & Wellness Physical Therapist CurrentSince May 22, 2023 Accepting new patients

Locations

4000 Mitchellville Rd
Ste B222
Bowie, MD 20716
Phone (301) 421-1125

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1023713005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208660356",
            "telephone_number": "301-421-1125",
            "fax_number": "301-500-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD STE B222",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163148",
            "telephone_number": "301-464-3775",
            "fax_number": "301-358-3211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Medical Center Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "MD",
            "postal_code": "207743714",
            "country_code": "US",
            "telephone_number": "301-263-3605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARPONG",
        "first_name": "RICHMOND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29329",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.