Kyle Richardson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

21934 Issued in MA

Practice address

489 Washington St Ste 200
Auburn, MA 01501-5709

Phone

(774) 696-8309

Fax

(508) 721-0000

NPI assigned

Jun 10, 2018

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 MA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Greendale Physical Therapy, LLC

  • Physical Therapist
  • Shrewsbury, MA
  • NPI 1053316182
  Medicare reassignment NPD
• Performance Rehabilitation of Western New England LLC

  • Physical Therapist
  • West Springfield, MA
  • NPI 1710919063
  Medicare reassignment NPD
• Performance Rehabilitation of Western New England LLC

  • Durable Medical Equipment & Medical Supplies
  • Wilbraham, MA
  • NPI 1376140566

  Physical Therapist

  NPD
• Performance Rehabilitation of Western New England LLC

  • Occupational Therapist
  • East Longmeadow, MA
  • NPI 1740345818

  Physical Therapist

  NPD
• Francis P. Defalco, PC

  • Chiropractor
  • Holden, MA
  • NPI 1184944464
  NPD (past)

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

{
    "created_epoch": "1528588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1073006516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 WASHINGTON ST",
            "address_2": "STE 200",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015015709",
            "telephone_number": "774-696-8309",
            "fax_number": "508-721-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 WASHINGTON ST STE 200",
            "city": "AUBURN",
            "state": "MA",
            "postal_code": "015015709",
            "telephone_number": "774-696-8309",
            "fax_number": "508-721-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "456 Main St Ste A-B",
            "address_purpose": "LOCATION",
            "city": "Holden",
            "state": "MA",
            "postal_code": "015203708",
            "country_code": "US",
            "telephone_number": "774-696-8309",
            "fax_number": "508-721-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "KYLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-10",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "21934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reliant Medical Group the Endoscopy Center, LLC
• Reliant Medical Group, Inc
• Remedy Physical Therapy, LLC
• Heather Reneau
• Michael P Richards, PA
• Katie Delia Ring
• William Ritacco
• Joanne L Rivard, PT, MSPT, DPT
• Karen P Robinson, DMD
• John Charles Rocheford

• Physical Therapist in Auburn, MA
• Providers in Auburn, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.