Active NPI
Moshe Richmond
- Physical Therapist
- Lawrence, NY
National Provider Identifier
1043937295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 049201
- Practice address
- 266 Pearl St
Lawrence, NY 11559-1251 - Phone
- (516) 732-8726
- NPI assigned
- Oct 27, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 049201 | NY | Primary |
Addresses
Primary practice location
266 Pearl St
Lawrence, NY 11559-1251
Mailing address
266 Pearl St
Lawrence, NY 11559-1251
Phone (516) 732-8726
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
| License | State | Type | Specialty |
|---|---|---|---|
| 049201 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666828800000",
"number": "1043937295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "266 PEARL ST",
"city": "LAWRENCE",
"state": "NY",
"postal_code": "115591251",
"telephone_number": "516-732-8726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "266 PEARL ST",
"city": "LAWRENCE",
"state": "NY",
"postal_code": "115591251",
"telephone_number": "516-732-8726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHMOND",
"first_name": "MOSHE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-27",
"last_updated": "2022-10-27",
"certification_date": "2022-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "049201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.