Individual provider Active NPI

Jessica Lynne Richardson, DPT

  • Physical Therapist
  • Lexington, KY
National Provider Identifier
1023731064
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009421 Issued in KY
Practice address
1792 Alysheba Way Ste 140
Lexington, KY 40509-2289
Phone
(859) 264-9249
NPI assigned
Sep 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 14172 TN
Physical Therapist 225100000X 1369040 TX
Physical Therapist 225100000X 009421 KY Primary

Addresses

Primary practice location

1792 Alysheba Way Ste 140
Lexington, KY 40509-2289

Mailing address

2269 Abbeywood Rd
Lexington, KY 40515-1112
Phone (859) 705-2363

Other practice location 1

1717 Scottsdale Dr Ste 220
Cedar Park, TX 78641-4770
Phone (512) 962-9141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260129001439 KY Practitioner - Physical Therapist in Private Practice 3274011432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

118 Market Place Cir
Suite D
Georgetown, KY 40324-7401

4714 Gettysburg Rd
Mechanicsburg, PA 17055-4325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
009421KYMDPharmacist
14172TNMDPhysical Therapist
1369040TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kentucky Orthopedic Rehabilitation, LLC CurrentSince Dec 20, 2025 Accepting new patients
Kentucky Orthopedic Rehabilitation LLC CurrentSince Dec 20, 2025 Accepting new patients

Locations

118 Market Place Cir
Ste D
Georgetown, KY 40324
Phone (859) 300-1335

1792 Alysheba Way
Ste 140
Lexington, KY 40509
Phone (859) 264-9249

235 Boggs Ln
Ste 9
Richmond, KY 40475
Phone (859) 972-8630

Organizations & group practices 3

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": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1023731064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2269 ABBEYWOOD RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405151112",
            "telephone_number": "859-705-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1792 ALYSHEBA WAY STE 140",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092289",
            "telephone_number": "859-264-9249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 Scottsdale Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786414770",
            "country_code": "US",
            "telephone_number": "512-962-9141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "JESSICA",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "14172",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1369040",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "009421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.