Dustin Richert, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.016295 Issued in IL

Practice address

210 Hartman LN Ste 500
O Fallon, IL 62269-1783

Phone

(618) 589-9000

Fax

(618) 589-9005

NPI assigned

Apr 23, 2012

Last updated

Apr 23, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• JKH Management, LLC

  dba Apex Physical Therapy

  • Physical Therapy Clinic/Center
  • Wood River, IL
  • NPI 1467698068

  Physical Therapist

  Medicare reassignment NPD
• Rehab Management Group, LLC

  dba ApexNetwork Physical Therapy

  • Physical Therapy Clinic/Center
  • O'Fallon, IL
  • NPI 1801189642
  Medicare reassignment

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

{
    "created_epoch": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335139200000",
    "number": "1063779403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 APEX DR",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491282",
            "telephone_number": "618-589-9000",
            "fax_number": "618-589-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 HARTMAN LN STE 500",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691783",
            "telephone_number": "618-589-9000",
            "fax_number": "618-589-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHERT",
        "first_name": "DUSTIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-23",
        "last_updated": "2012-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.016295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ashley Rhodes
• Kimberly Rhodes
• Sidney Richard
• Richardson Speech and Language Services, PLLC
• Elissa Marie Richter
• Rachel Anne Richter, BT
• Rachel M Riddle, CRNA
• Evan Rieck, RBT
• Rebecca Sue Riepshoff, PA-C

• Physical Therapist in O'Fallon, IL
• Providers in O'Fallon, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; 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.