Samantha Audrey Richards, PT, DPT, MS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

307038 Issued in CA

Practice address

415 W Taft Ave Ste E
Orange, CA 92865-4249

Phone

(714) 939-6200

NPI assigned

Dec 16, 2024

Sex

Female

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Colorado School of Medicine, Aurora, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sports Medicine Institute a Professional Physical Therapy CorpGroup PAC ID 4688567118, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Sports Medicine Institute a Professional Physical Therapy Corp

  • Physical Therapist
  • Orange, CA
  • NPI 1144222308
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1073320826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W TAFT AVE STE E",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928654249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W TAFT AVE STE E",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928654249",
            "telephone_number": "714-939-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDS",
        "first_name": "SAMANTHA",
        "middle_name": "AUDREY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "307038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard M. Gates, D.D.S., Inc.
• Richard Z Lu MD a Medical
• Eugenia Elka Richards
• Geoffrey Richards
• Kurt Mason Richards, P.A. - C
• Amyaah Richardson
• Janice Marie Richardson, LCSW
• Phillip John Richardson, M.D.
• Tara M. Richardson, PH.D.
• Ethan Richtsmeier

• Physical Therapist in Orange, CA
• Providers in Orange, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.